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Home My WebLink About2003-253K (� 3 - 0 ® f�tS , Indian River County Grant Contract This Grant Contract ("Contract") entered into effective this 1st day of October 2003 by and between Indian River County, a political subdivision of the State of Florida , 1840 25th Street , Vero Beach FL , 32960 ("County" ) and Cultural Council of Indian River (" Recipient") ; of: (Address ) Cultural Council of Indian River Courthouse Executive Center 214514 th Avenue - Suite 11 Vero Beach , Florida 32960 Summer Cultural Camp Program Background Recitals A. The County has determined that it is in the public interest to promote healthy children in a healthy community. B . The County adopted Ordinance 99- 1 on January 19 , 1999 ("Ordinance") and established the Children 's Services Advisory Committee to promote healthy children in a healthy community and to provide a unified system of planning and delivery within which children 's needs can be identified , targeted , evaluated and addressed . C . The Children 's Services Advisory Committee has issued a request for proposals from individuals and entities that will assist the Children 's Services Advisory Committee in fulfilling its purpose . D . The proposals submitted to the Children 's Services Advisory Committee and the recommendation of the Children 's Services Advisory Committee have been reviewed by the County. E . The Recipient, by submitting a proposal to the Children 's Services Advisory Committee , has applied for a grant of money ("Grant") for the Grant Period (as such term is hereinafter defined ) on the terms and conditions set forth herein . F . The County has agreed to provide such Grant funds to the Recipient for the Grant Period (as such term is hereinafter defined ) on the terms and conditions set forth herein . NOW THEREFORE , in consideration of the mutual covenants and promises herein contained , and other good and valuable consideration , the receipt and adequacy of which are hereby acknowledged , the parties agree as follows : 1 . Background Recitals The background recitals are true and correct and form a material part of this Contract . 2 . Purpose of Grant The Grant shall be used only for the purposes set forth in the complete proposal submitted by the Recipient attached hereto as Exhibit "A" and incorporated herein by this reference (such purposes hereinafter referenced as "Grant Purposes") . 3 . Term The Recipient acknowledges and agrees that the Grant is limited to the fiscal year 2003/2004 ("Grant Period") . The Grant Period commences on October 1 , 2003 and ends on September 30 , 2004 . - 1 - 4 . Grant Funds and Payment The approved Grant for the Grant Period is Fifty Three Thousand Dollars ($53 , 000) . The County agrees to reimburse the Recipient from such Grant funds for actual documented costs incurred for Grant Purposes provided in accordance with this Contract. Reimbursement requests may be made no more frequently than monthly. Each reimbursement request shall contain the information , at a minimum , that is set forth in Exhibit "B" attached hereto and incorporated herein by this reference . All reimbursement requests are subject to audit by the County. In addition , the County may require additional documentation of expenditures , as it deems appropriate . 5 . Additional Obligations of Recipient 5 . 1 Records . The Recipient shall maintain adequate internal controls in order to safeguard the Grant . In addition , the Recipient shall maintain adequate records fully to document the use of the Grant funds for at least three (3 ) years after the expiration of the Grant Period . The County shall have access to all books , records , and documents as required in this Section for the purpose of inspection or audit during normal business hours at the County's expense , upon five (5) days prior written notice . 5 . 2 Compliance with Laws The Recipient shall comply at all times with all applicable federal , state , and local laws , rules , and regulations . 5 . 3 Quarterly Performance Reports . The Recipient shall submit Quarterly Performance Reports to the Human Services Department of the County within fifteen ( 15) business days following : December 31 , March 31 , June 30 , and September 30 . 5 . 4 Audit Requirements If Recipient receives $25 , 000 or more in the aggregate from all Indian River County government funding sources , the Recipient is required to have an audit completed by an independent certified public accountant at the end of the Recipient's fiscal year. Within 120 days of the end of the Recipient's fiscal year, the Recipient shall submit the audit to the Indian River County Office of Management and Budget . The fiscal year will be as reported on the application for funding , and the Recipient agrees to notify the County prior to any change in the fiscal period of Recipient . The Recipient acknowledges that the County may deny funding to any Recipient if an audit required by this Contract for a prior fiscal year is past due and has not been submitted by May 1 . 5 . 4 . 1 The Recipient further acknowledges that, promptly upon receipt of a qualified opinion from its independent auditor, such qualified opinion shall immediately be provided to the Indian River County Office of Management and Budget. The qualified opinion shall thereupon be reported to the Board of Commissioners and funding under this Contract will cease immediately. The foregoing termination right is in addition to any other right of the County to terminate this Contract. 5 .4 .2 The Indian River County Office of Management and Budget reserves the right at any time to send a letter to the Recipient requesting clarification if there are any questions regarding a part of the financial statements , audit comments , or notes . 5 . 5 Insurance Requirements Recipient shall , no later than September 23 , 2003 , provide to the Indian River County Risk Management Division a certificate or certificates issued by an insurer or insurers authorized to conduct business in Florida 2 - • 1 that is rated not less than category A- : VII by A. M . Best, subject to approval by Indian River County's risk manager, of the following types and amounts of insurance : ( i) Commercial General Liability Insurance in an amount not less than $ 1 , 000, 000 combined single limit for bodily injury and property damage , including coverage for premises/operations , products/completed operations , contractual liability, and independent contractors ; (ii ) Business Auto Liability Insurance in an amount not less than $ 1 , 000 , 000 per occurrence combined single limit for bodily injury and property damage , including coverage for owned autos and other vehicles , hired autos and other vehicles , non -owned autos and other vehicles ; and (iii ) Workers ' Compensation and Employer's Liability (current Florida statutory limit) 5 . 6 Insurance Administration . The insurance certificates , evidencing all required insurance coverages shall be fully acceptable to County in both form and content, and shall provide and specify that the related insurance coverage shall not be cancelled without at least thirty (30) calendar days prior written notice having been given to the County. In addition , the County may request such other proofs and assurances as it may reasonably require that the insurance is and at all times remains in full force and effect . Recipient agrees that it is the Recipient's sole responsibility to coordinate activities among itself, the County, and the Recipient's insurer(s ) so that the insurance certificates are acceptable to and accepted by County within the time limits set forth in this Contract . The County shall be listed as an additional insured on all insurance coverage required by this Contract , except Workers ' Compensation insurance . The Recipient shall , upon ten ( 10 ) days ' prior written request from the County, deliver copies to the County, or make copies available for the County's inspection at Recipient's place of business , of any and all insurance policies that are required in this Contract. If the Recipient fails to deliver or make copies of the policies available to the County; fails to obtain replacement insurance or have previous insurance policies reinstated or renewed upon termination or cancellation of existing required coverages ; or fails in any other regard to obtain coverages sufficient to meet the terms and conditions of this Contract , then the County may, at its sole option , terminate this Contract. 5 . 7 Indemnification , The Recipient shall indemnify and save harmless the County, its agents , officials , and employees from and against any and all claims , liabilities , losses , damage , or causes of action which may arise from any misconduct, negligent act, or omissions of the Recipient , its agents , officers , or employees in connection with the performance of this Contract. 5 . 8 Public Records . The Recipient agrees to comply with the provisions of Chapter 119 , Florida Statutes ( Public Records Law) in connection with this Contract . 6 , Termination . This Contract may be terminated by either party, without cause , upon thirty (30 ) days prior written notice to the other party. In addition , the County may terminate this Contract for convenience upon ten ( 10 ) days prior written notice to the Recipient if the County determines that such termination is in the public interest. 7 . Availability of Funds The obligations of the County under this Contract are subject to the availability of funds lawfully appropriated for its purpose by the Board of County Commissioners of Indian River County. 3 - 8 . Standard Terms . This Contract is subject to the standard terms attached hereto as Exhibit C and incorporated herein in its entirety by this reference. IN WITNESS WHEREOF , County and Recipient have entered into this Contract on the date first above written . INDIAN RIVER COUNTY BOARD OF COUNTY COMMISSION RS By: enneth R . Macht , Chairman Attest : J . K. Barton , Clerk By: Deputy Clerk Approved : County Administrator 944�v pro d as o form and legal sufficien ri E . Fell , Assistant Coun ttorney RECIPIENT: Cultural Council of Indian River Courthouse Executive Center 214514 th Avenue - Suite 11 Vero Beach , Florida 32960 By: Name Title 4 - EXHIBIT A [Copy of complete proposal/application] - 1 - EXHIBIT B [From policy adopted by Indian River County Board Of County Commissioners on February 19 , 2002] " D . Nonprofit Agency Responsibilities After Award of Funding Indian River County provides funding to all nonprofit agencies on a reimbursement basis only. All reimbursable expenses must be documented by an invoice and/or a copy of the canceled check . Any expense not documented properly to the satisfaction of the Office of Management & Budget and/or the County Administrator may not be reimbursed . If an agency repeatedly fails to provide adequate documentation , this may be reported to the Board of Commissioners . In the event an agency provides inadequate documentation on a consistent basis , funding may be discontinued immediately. Additionally, this may adversely affect future funding requests . Expenditures may only be reimbursed from the fiscal year for which funding was awarded . For example , no expenditures prior to October 1st may be reimbursed with funds from the following year. Additionally, if any funds are unexpended at the end of a fiscal year, these funds are not carried over to the next year unless expressly authorized by the Board of Commissioners . All requests for reimbursement at fiscal year end (September 30th) must be submitted on a timely basis . Each year, the Office of Management & Budget will send a letter to all nonprofit agencies advising of the deadline for reimbursement requests for the fiscal year. This deadline is typically early to mid October, since the Finance Department does not process checks for the prior fiscal year beyond that point . Each reimbursement request must include a summary of expenses by type . These summaries should be broken down into salaries , benefits , supplies , contractual services , etc . If Indian River County is reimbursing an agency for only a portion of an expense (e . g . salary of an employee) , then the method for this portion should be disclosed on the summary. The Office of Management & Budget has summary forms available . Indian River County will not reimburse certain types of expenditures . These expenditure types are listed below. a . Travel expenses for travel outside the County including but not limited to ; mileage reimbursement, hotel rooms , meals , meal allowances , per Diem , and tolls . Mileage reimbursement for local travel (within Indian River County) is allowable . b . Sick or Vacation payments for employees . Since agencies may have various sick and vacation pay policies , these must be provided from other sources . c. Any expenses not associated with the provision of the program for which the County has awarded funding . d . Any expense not outlined in the agency's funding application . The County reserves the right to decline reimbursement for any expense as deemed necessary. " - 1 - EXHIBIT C STANDARD TERMS FOR GRANT CONTRACT 1 . Notices : Any notice , request, demand , consent , approval or other communication required or permitted by this Contract shall be given or made in writing , by any of the following methods : facsimile transmission ; hand delivery to the other party; delivery by commercial overnight courier service ; or mailed by registered or certified mail ( postage prepaid ) , return receipt requested at the addresses of the parties shown below: County: Joyce Johnston-Carlson , Director Indian River County Human Services 184025 1h Street Vero Beach , Florida 32960-3365 Recipient: Mary Jane Kelly, Director Cultural Council of Indian River Courthouse Executive Center 214514 th Avenue - Suite 11 Vero Beach , Florida 32960 2 . Venue ; Choice of Law: The validity , interpretation , construction , and effect of this Contract shall be in accordance with and governed by the laws of the State of Florida , only. The location for settlement of any and all claims , controversies , or disputes , arising out of or relating to any part of this Contract , or any breach hereof, as well as any litigation between the parties , shall be Indian River County, Florida for claims brought in state court, and the Southern District of Florida for those claims justifiable in federal court. 3 . Entirety of Agreement : This Contract incorporates and includes all prior and contemporaneous negotiations , correspondence , conversations , agreements , and understandings applicable to the matters contained herein and the parties agree that there are no commitments , agreements , or understandings concerning the subject matter of this Contract that are not contained herein . Accordingly, it is agreed that no deviation from the terms hereof shall be predicated upon any prior representations or agreements , whether oral or written . It is further agreed that no modification , amendment or alteration in the terms and conditions contained herein shall be effective unless contained in a written document signed by both parties . 4 . Severability: In the event any provision of this Contract is determined to be unenforceable or invalid , such unenforceability or invalidity shall not affect the remaining provisions of this Contract , and every other term and provision of this Contract shall be deemed valid and enforceable to the extent permitted by law. To that extent, this Contract is deemed severable . 5 . Captions and Interpretations : Captions in this Contract are included for convenience only and are not to be considered in any construction or interpretation of this Contract or any of its provisions . Unless the context - 1 - indicates otherwise , words importing the singular number include the plural number, and vice versa . Words of any gender include the correlative words of the other genders , unless the sense indicates otherwise . 6 . Independent Contractor, The Recipient is and shall be an independent contractor for all purposes under this Contract. The Recipient is not an agent or employee of the County, and any and all persons engaged in any of the services or activities funded in whole or in part performed pursuant to this Contract shall at all times and in all places be subject to the Recipient's sole direction , supervision , and control . 7 . Assignment, This Contract may not be assigned by the Recipient without the prior written consent of the County. - 2 - t gig ESSEX INSURANCE COMPANY J. COMMERCIAL LIABILITY DECLARATIONS 3 CH4 314 Policy Number Renewal of Number 3CK3308 Item 1 . Named Insured and Mailing Address $IJc! [iLI�JI-rgr �C`n : Lh r 1' 03 kic:2 1211 SFTji r ui�U iOtS'il Cultural Council of Indian River Co . , Inc suix227 2145 14th Avenue Ste : 11 Casselberry FL 32707 Vero Beach , Fl 32960 PRODAGTSid Bannack _ OIn,Voeroo- each , FL This insurance is, � r apt FloriC4 Surplus Lir - < ; ,; cured to the Item 2. Policy Period From : 0 3 10 2 0 0 3 TO: 03Z10 / 2004 Term : 1fheYearn of ine rlo : 12 :01 A. M . Standard Time at the address of the Named Insured as stated herein. y oaf on e; of 12 :01 recover for the CD!i ^ Y unlicensed insurer. Item 3. Retroactive Date : File # Item 4. Business Description : Promotes the arts & cultural activities & programs Item 5 . In return for the payment of the premium , and subject to all the terms of this policy, we agree with you to provide the Insurance as stated in this policy. This policy consists of the following coverage parts for which a premium is Indicated . Where no premium is shown , there Is no coverage . This premium may be subject to adjustment. Coverage Part (s) Form No . and Edition Date Premium Commercial General Liability Coverage Part $ 41227 , 00 Professional Liability Coverage Part Policy Fee $ 35 . 00 Service Fee Tax $ 12 . 79 $ 213 . 10 $ $ $ Audit Period Annual unless otherwise stated : Total $ 41487 , 89 Item 6. Forms and endorsements applicable to all Coverage Parts : 011 - 1054 ( 04 - 00 ) , 011 - 1061 ( 08 - 02 ) SHOW NUMBERS Agent Name and Address : Crump Insurance Services of Florida , Inc . 1211 Semoran Blvd . Ste : 227 Casselberry , FL 32707 Agent Number: 104990 Countersigned 03 /25 /2003 kp B Zoe � Y DATE THIS COMMERCIAL LIABILITY DECLARATIONS AND THE SUPPLEMENTAL DECLARATION ,TOG�T� ER` WITH THE COMMONttPOLICY CONDITIONS , COVERAGE FORM (S) AND ENDORSEMENTS COMPLETE THE ABOVE NUMBERED POLICY. 011 - 1056 (9-93) INSURED Cultural Council oflndian River County Web site: www.cultural.councii.org E-mail: infoOcultural-council or¢ Chairman Sheila B. Tucker October 20, 2003 Vice Chairman Richard Stark Treasurer Joyce Johnston-Carlson, Director Janicesroda Children' s Services Advisory Committee Secretary C/O Human Services Ellen Fisher 1840 250i Street Board Vero Beach, FL 32960-3394 Ray Adams Nancy Bryant Jafar FalasDear Joyce, , Barbara Ferrell Peter Ford Philip Flynn This letter is to clarify that the Cultural Council of Indian River County contracts M Hudson with outside providers for transportation of students in the delivery of the Marcia Loewinger Scholarship Program and the Summer Cultural Camp . Therefore, we do not carry Susan K Mallinson Barbara Miller Business Auto Liability Insurance. James Ostrand Robert L. Richardson Robert L. Temple Thank you for your attention to this matter. Commissioner Ken Macht Mmk Wygomk Executive Director Sincerely, Mary Jayne Kelly M Jayne ayne Kelly Executive Director Courthouse Executive Center ♦ 2145 14*' Avenue, Suite 11 ♦ Vero Beach, FL 32960 Phone : (561 ) 770-4857 ♦ Fax : (561 ) 770-3403 This program is sponsored in part by the State of Florida, Department of State, Division of Cultural Affairs, and the Florida Arts Council a f.. ESSEX INSURANCE COMPANY MAWL COMMERCIAL GENERAL LIABILITY COVERAGE PART <` SUPPLEMENTAL DECLARATIONS These Supplemental Declarations form a part of policy number . 3 CK3 3 0 8 LIMITS OF INSURANCE General Aggregate Limit (other than Products/Completed Operations) $ 2 0 0 0 0 0 0 Products/Completed Operations Aggregate Limit $_ 100 0 0 0 00 Personal and Advertising Injury Limit $ 1 0 0 0 0 0 0 Each Occurrence Limit $ 1 0 0 0 0 0 0 Damage to Rented Premises Each Occurren e Medical Expense Limit $ 3 000 Any One Perso BUSINESS DESCRIPTION AND LOCATION OF PREMISES COVERED BY THIS POLICY Form of business: ❑ Individual ❑ Joint Venture ❑ Partnership ® Organization (other than Partnership or Joint Venture) Location of all premises you own, rent or occupy: 2145 14th Avenue Vero Beach , F1 3 2 9 6 0 PREMIUM Description of Hazards/ Rate Advance Premium Insured Classifications Code No. *Premium Basis PR Co All Other Pr Co All Other Camps - - not - for - profit Including Products & 41422 0 ) 200 Campers Incl Flat $ Incl $ 3 , 738 . 00 Completed Operations ( summer ) Camps - - not for profit Including Products & 41422 0 ) 60 Campers Inc ( Incl Completed Operations ( after - school program Incl Incl Exhibitions - - in buildings - other than 63217 0 ) 2 events Incl 172 . 5 Incl not - for - profit including products & 345 . 00 completed operations Additional insured per ME009 144 . 00 TOTAL * (a) Area , (c) Total Cost, (m) Admission , (p) Payroll , (s) Gross Sales, (u) Units (o) Other ADVANCE PREMIUM $ 41227 . 00 FORMS AND ENDORSEMENTS other than applicable forms and endorsements shown elsewhere in thepolicy) Forms and endorsements applying to this Coverage Part and made part of this policy at time of issue : 011 - 1054 ( 04 - 00 ) , 011 - 1095 ( 07- 01 ) , ME - 001 ( 04 - 00 ) , ME - 001A ( 07- 01 ) , ME - 009 ( 04 - 99 ) , ME - 013 ( 05 - 02 ) 8 ME - 024 ( 09 - 00 ) , ME - 026 ( 10 - 99 ) , ME - 030 ( 04 - 99 ) , ME - 048 ( 04 - 99 ) , ME - 064 ( 04 - 99 ) , ME - 143 ( 04 - 99 ) , ME - 170 ( 08 - 95 ) , ME - 235 ( 08 - 02 ) , CG 00 01 ( 07 - 98 ) , CG 21 69 ( 01 - 02 ) THIS SUPPLEMENTAL DECLARATIONS AND THE COMMERCIAL LIABILITY DECLARATIONS , TOGETHER WITH THE COMMON POLICY CONDITIONS , COVERAGE FORM (S) AND ENDORSEMENTS COMPLETE THE ABOVE NUMBERED POLICY. 011 - 1061 (8-02) INSURED ESSEX INSURANCE COMPANY MARKEL ADDITIONAL INSURED ENDORSEMENT * Entry optional if shown in the Common Policy Declarations. If no entry is shown, the effective date of the endorsement is the same as the effective date of the policy. *ATTACHED TO AND FORMING *EFFECTIVE DATE *ISSUED TO PART OF POLICY NO. OF ENDORSEMENT 3CK3308 03 / 10 / 2003 Cultural Council of Indian River Co . , Inc 2145 14th Avenue Ste : 11 THIS ENDORSEMENT CHANGES THE POLICY. SECTION 11 - WHO IS AN INSURED of the Commercial General Liability Form is amended to include: Person or Entity: Board of Indian River County Commissioners 1840 25th St . Vero Beach , Fl 32960 Interest of the Above : Political Entity as an additional insured under this policy, but only as respects negligent acts or omissions of the Named Insured and only for occurrences, claims or coverage not otherwise excluded in the policy. It is further agreed that where no coverage shall apply herein for the Named Insured , no coverage nor defense shall be afforded to the above-identffied additional insured . Moreover, it is agreed that no coverage shall be afforded to the above-identffied additional insured for any "bodily injury, " "personal injury, " or "property damage" to any employee of the Named Insured or to any obligation of the additional insured to indemnify another because of damages arising out of such injury. Additional Premium : Incl . AUTHORIZED REPRESENTATIVE DATE M / E-009 (4/99) INSURED f R50 OMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 99 06 01 A INFORMATION PAGE Insurer : Harbor Specialty Insurance Company Producer : Agent # 722 C/O AmeriComp Administrators , Inc . Sid Banack Insurance 5951 Cattleridge Blvd . , Suite 200 P . O . Box 130 Sarasota , FL 34232 Vero Beach , FL 32961 ( Carrier Code : 35270 ) 024 Carrier Policy # :Carri099000004981202 1 . The Insured : Cultural Council of Indian RivereCounty ,PriorPolicy ; NEW Mailing Address : 2145 14 Ave I11 Type of Business : Corporation Vero Beach , FL 32960 Other workplaces not shown above : Fein : 593299133 NO OTHER WORKPLACES FOR THIS POLICY Risk ID : 2 . The policy period is from 12 : 01 a . m . on 12 / 20 /2002 to 12 : 01 a . m . on 12 /20 / 2003 at the insured ' s mailing address . 3 . A . Workers Compensation Insurance : Part One of the policy applies to the Workers Compensation Law of the states listed here : FL B . Employers Liability Insurance : Part Two of the policy applies to work in each state listed in Item 3 . A . The limits of our liability under Part Two are : Bodily Injury by Accident $ 100 , 000 each accident Bodily Injury by Disease $ Bodily Injury by Disease 500 , 000 policy limit $ 100 , 000 each employee C . Other States Insurance : All states except Nevada , North Dakota , Ohio , Washington , West Virginia , Wyoming and states designated in item 3A D . This policy includes these endorsements and schedules : WCOOOOOOA ( 04 / 92 ) WC000308 ( 04 / 84 ) WC000414 ( 07 / 90 ) WC090606 ( 10 / 98 ) 4 . The premium for this policy will be determined by our Manuals of Rules , Classifications , Rates and Rating Plans . All information required below is subject to verification and change by audit . Classifications Code Premium Basis Rate Per No . Total Estimated Estimated Annual Remuneration $ 100 of Annual Remuneration Premium SEE SCHEDULE OF OPERATIONS Total Estimated Annual Premium $ 2 , 180 . 00 Minimum Premium $ 730 . 00 WC 9 Ex a,- -onstt��°�----X90 . 00 9 06 O1 A Countersigned by �= * 1 Internal Revenue Service Department of the Treasury P . O . Box 2508 Cincinnati , OH 45201 Date : February 15 , 2000. Person to Contact : Vicki Adams 31 -04011 Cultural Council of Indian River County, Inc . Customer Service Representative 2145 14th Ave . Ste . . 14 Toll Free Telephone Number : Vero Beach , FL 32060-4413 877- 829 -5500 Fax Number: 513-263-3756 Federal Identification Number: 59-3299133 Dear Sir or Madam : This letter is in response to our receiving your correspondence concerning your Advanced Ruling period which has been satisfied . Our records have been changed to reflect this . This letter will take the place of the copy you requested . Our records indicate that a determination letter issued in February 1996 granted your organization exemption from federal income tax under section 501 (c) (3) of the Internal Revenue Code . That letter is still in effect. Based on information subsequently submitted , we classified your organization as one that is not a private foundation within the meaning of section 509 (a) of the Code because it is an organization �described in section 509 (a) (2) . This classification was based on the assumption that your organization ' s operations would continue as stated in the application . If your organization's sources of support, or its character, method of operations , or purposes have changed , please let us know so we can consider the effect of the change on the exempt status and foundation status of your organization . Your organization is required to file Form 990 , Return of Organization Exempt from Income Tax , only if its gross receipts each year are normally more than $ 25 , 000 . If a return is required , it must be filed by the 15th day of the fifth month after the end of the organization's annual _accounting . period . The law imposes a penalty of $20 a day , up to a maximum of $ 10 , 000 , when a return is filed late , unless there is reasonable cause for the delay . All exempt organizations (unless specifically excluded) are liable for taxes under the Federal Insurance Contributions Act (social security taxes ) on remuneration of $ 100 or more paid to each employee during a calendar year. Your organization is not liable for the tax imposed under the Federal Unemployment Tax Act (FUTA) . Organizations that are not private foundations are not subject to the excise taxes under Chapter 42 of the Code . However, these organizations are not automatically exempt from other federal excise taxes . Donors may deduct contributions to your organization as provided in section 170 of the Code . Bequests , legacies , devises , transfers , or gifts to your organization or for its use are deductible for federal estate and gift tax purposes if they meet the applicable provisions of sections 2055 , 2106 , and 2522 of the Code . , -2 - Cultural Council of Indian River County Inc. 59 - 3299133 Your organization is not required to file federal income tax returns unless it is subject to the tax on unrelated business income under section 511 of the Code . If your organization is subject to this tax , it must file an income tax return on the Form 990-T, Exempt Organization Business Income Tax Return . In this letter, we are not determining whether any of your organization 's present or proposed activities are unrelated trade or business as defined in section 513 of the Code . The law requires you to make your organization ' s annual return available for public inspection without charge for three years after the due date of the return . You are also required to make available for public inspection a copy of your organization ' s exemption application , any supporting documents and the exemption letter to any individual who requests such documents in person or in writing . You can charge only a reasonable fee for reproduction and actual postage costs for the copied materials . The law does not require you to provide copies of public inspection documents that are widely available , such as by posting them on the Internet (World Wide Web) . You may be liable for a penalty of $20 a day for each da u do not make documents available for public inspection (up to a maximum of $ 10 , 000 in the ase of an annual t rehesturn ) . Because this letter could help resolve any questions about your organization's exempt status and foundation status , you should keep it with the organization ' s permanent records . Ifou have any y questions , please all us at the telephone number shown in the heading of this letter. This letter affirms your organization's exempt status . Sincerely, Robert C . Padilla Manager, Customer Service � t CHILDREN'S SERVICES ADVISORY COMMITTEE C/O Human Services 1840 25"' Street Vero Beach , Florida 32960-3394 Phone : 561 -567-8000 (Ext. 467 or 524) Fax: 978-1798 E-Mail : Jearlsonabcc.co. indian-river.fl . us Mmasterson anbcc co indian-river fl us To : Beth Jordan From : Joyce Johnston- Carlson Date : September 30, 2003 Re : Grant Contracts 2003 -04 The attached is a Children ' s Service Advisory Committee Grant Contract for: Cultural Council of Indian River Please review the insurance certificate and verify that it is adequate by signing on the line below . Contact me if you have any questions . Thank you. Beth Jordan Date ie - ,3r e - Cultural Council of Indian River County Summer Cultural Camp Children's Services Advisory Committee - Indian River County PROGRAM COVER PAGE Organization Name : Cultural Council of Indian River County Executive Director : MgaJJayne Kelly Email : mjkelly@cultural-council. org Address : 2145 1e Avenue, Suite 11 Telephone : (772) 770-4857 Vero Beach, Florida 32960 Fax: (772) 770-3403 Program Director : Annie Astley Email : info@cultural-councii. org Address : 2145 14th Avenue. Suite 11 Telephone : (772) 770-4857 Vero Beach, Florida 32960 Fax: _ 772) 770-3403 Program Title : Summer Cultural Camp Priority Need Area Addressed: Mental Wellness, Parental Education, Childcare Access Brief Description of the Program: Two week summer day camp, scheduled in the two weeks prior to the startof the school year, emphasizing the arts through the use of team work and visual musical and performing arts . Culminates in a Grand Finale a production based on the six pillars of Character Counts ! Amount Requested from Funder for 2003 /04 : $ 53 , 000 Total Proposed Program Budget for 2003 /04 : $ 625570 Percent of Total Program Budget : 84 . 7 % Current Funding (2002 /03 ) : $ 53 , 000 Dollar increase/(decrease) in request: $ _ Percent increase/( decrease) in request : 0 . 0 % Unduplicated Number of Children to be served Individually : 263 Unduplicated Number of Adults to be served Individually : _ Unduplicated Number to be served via Group settings : _ Total Program Cost per Client : 237 . 91 Will these funds be used to match another source? No If yes , name the source : Amount : $ _ The Organization 's Board of Directors has approved this application on (date). May 22, 2003 Sheila B. Tucker Name of President/Chair of the Board Signa e C y � Mary Jayne Kelly / , , Name of Executive Director/CEO Signature 3 Cultural Council of Indian River County Sumner Cultural Camp Children's Services Advisory Committee - Indian River County PROPOSAL NARRATIVE A. ORGANIZATION CAPABILITY (Entire Section A not to exceed one page) 1 . Provide the mission statement and vision of your organization . The mission of the Cultural Council of Indian River County is to nurture a cooperative environment in which cultural and educational organizations and individuals may thrive and thereby, enrich the quality of life in Indian River County for all residents and visitors . The vision of the organization includes being an integral part of the community by being involved in community activities, cooperating and collaborating with all entities that desire arts instruction, appreciation, planning or opportunities . 2. Provide a brief summary of your organization including areas of expertise, accomplishments and population served. The Cultural Council of Indian River County has been the county' s designated Local Arts Agency since 1995 . This designation requires this organization to promote cultural opportunities for the community, support cultural organizations and individual artists . It also requires that the Cultural Council work with other entities that desire to include the arts in their programs . This organization' s area of expertise is in collecting and disseminating cultural information to anyone in the County that requests it. We provide technical assistance in finding resources, such as qualified art instructors and supplies . We also work with other organizations to provide cultural experiences that enhance their mission. This organization has done this for many years through an after-school program and a Summer Cultural Camp, both of which emphasize the arts . All of the children are on the free or reduced lunch program, where economic indicators are less than favorable for extras such as arts instruction or opportunities . Instructors serve as positive role models, while teachings skills that can serve as a coping mechanism, career choice or a meaningful activity. The after-school program has retained many students for several years, having started in elementary school, now they are in high school. These students volunteer their time to assist the younger students during the camp . The after-school program has served about 65 children per school year and the summer camp has served over 230 children and teens in any given year. The response from participants and parents has been overwhelmingly positive. However, the program is at a stage where it must evolve for two purposes : to expose more children and teens to the arts and to nurture those itadents that exhibit exceptional talent. Building on the accomplishments so far, the Cultural Council would like to put arts instruction in locations where children already go after school. We would like to share our experience and expertise with other organizations so they can enhance their programs and we can all enhance the children' s experiences in after school care . It has been demonstrated that learning a skill in the arts helps a child to learn discipline while achieving a goal . A child ' s self-esteem is enhanced when the skill is performed or displayed . 4 Cultural Council of Indian River County Summer Cultural Camp Children's Services Advisory Committee - Indian River County Be PROGRAM NEED STATEMENT (Entire Section B not to exceed one page) 1 . a) What is the unacceptable condition requiring change? b) Who has the need ? c) Where do they live? d) Provide local, state or national trend data, with reference source, that corroborates that this is an area of need. What : Limited number of affordable programs available to working parents in the two weeks prior to the start of school. Who : Children with risk factors such as qualifying for the free or reduced lunch program, living in single parent homes, alcohol, tobacco or drug use, symptoms of depression, displaying anti-social behavior or dropping out of school. Many families have single parents or both parents working full time. Many parents find themselves stretched to the limit trying to provide just basic needs. Organizations need to work together to insure the frugal use of public dollars . Where: The numbers of school aged children living in Indian River County are located in the Western, Central and Southern ends of the County. Programs offered for children during those two weeks and especially those offered for teens are limited . The Summer Cultural Camp offers productive, supervised activities that give children tools for living. The Summer Cultural Camp offers transportation to a central location in the morning (GYAC) . From there, field trips and classes are arranged . Transportation home is also provided at the end of the day. Data : Figures from the Florida Department of Education indicate a steady increase in students eligible for the Free/Reduced Lunch Program statewide. Indian River County shows 39% of the children in the school system qualify for this program, which translates into 5935 eligible children. Data from the Needs Assessment conducted last year by the Children' s Services Advisory Committee indicated that the percent growth in impoverished families with children in Indian River County had a 46% rise from 1990 —2000 . A subsidized childcare sites and wait list chart in the same report indicated that there is a capacity for 182 in-school children, but the need is for 250, revealing a gap of 68 needing a place for childcare after school. The Cultural Council is identified as an asset to the community in the service that we currently provide. The focus on the need for mental wellness in our children was evident in the report, especially for programs that prevent mental distress and illness . This program provides such a focus. 2. a) Identify similar programs that are currently serving the needs of your targeted population ; b) Explain how these existing programs are under-serving the targeted population of your program. a) The Indian River County Recreation Department offers "Pool Days, Not School Days" for part of the time this camp is offered . The City of Vero Beach Recreation Department is not offering programs at this time. Some community organizations are offering arts classes but the cost is high and the start time does not fit a working families ' schedule. Boys & Girls Clubs, will be operational at this time, Gifford Youth Activities Center is hosting the Summer Cultural Camp . Dasie Bridgewater Hope Center and Children' s Home Society' s are operational. b) All these locations are already filled to capacity during these two weeks . 5 Cultural Council of Indian River County Summer Cultural Camp Children's Services Advisory Committee - Indian River County co PROGRAM DESCRIPTION (Entire Section C, 1 — 6, not to exceed two pages) 1 . List Priority Needs area addressed. Mental Wellness Issues Parental Support and Education Childcare Access 2. Briefly describe program activities including location of services. The main activities of this program are chosen to provide children and teens with tools to help them succeed to adulthood in a safe, healthy and productive manner. Instructors for these classes are commu ' artists that wmt to share their love of their craft with young people. Eligible children have an interest in the arts, participate in the free or reduced lunch, program a or�iave been referred to the program through the Student Support Specialist at their school. The Summer Cultural Camp is a team effort that focuses on a Grand Finale Production, where parents and guardians are invited to watch the results of their efforts . The production involves cooperation and discipline on each student' s part. 3. Briefly describe how your program intends to address the stated need/problem. Include reference to any studies or evidence that indicate proposed strategies are effective with target population. Mental Wellness is the most important focus of this program. A recent report issued to the Florida Senate from the Committee on Criminal Justice in December 2002, entitled "Review Effectiveness of Juvenile Programs that use a Visual and Performing Arts-Based Intervention Approach" summarized numerous studies that illustrate the positive impact these types of programs have . Arts programs, especially ones containing mentorship opportunities and relationships to the community, influence at-risk children toward The Arts and Prosocial Impact Study, Rand, 1999 ) Students who have been coni t n 1 involved in music and theatre exhibit higher levels of success in math and reading. (Secretary 's Commy. ission on Achieving Necessary Skills, U. S . Department of Labor, 1991 ) A lengthy national project that studied children form low income backgrounds found that those exposed to arts learning were more likely to be class officers, involved with math and science fairs and to be recognized with a writing award . (Community Counts: How Youth Organizations Matter for Youth Development), Shirley Brice Health, Milbrey W. McLaughlin, 2000 . Exposure to arts impacts the developmental growth of children and helps to equalize the learning curve that cuts across diverse socio-economic backgrounds . (UCLA Imagination Project, Americans for the Arts, 1998) By providing arts opportunities and choices at a young age, children become motivated and engaged in this health outlet for ex ression. 6 Cultural Council of Indian River County Summer Cultural Camp Children's Services Advisory Committee - Indian River County 4. List staffing needed for your program, including required experience and estimated hours per week in program for each staff member and/or volunteers (This section should conform with the information in the Position Listing on the Budget Narrative Worksheet). Portion of Salary : Bookkeeper ( 1 ) : Responsible for organization of records and administration of payments to contracted personnel and program related expenses . Keeps records pertaining to all grant expenditures, prepares request for reimbursements and quarterly reports. 3 % of time (5hours per month) _ $ 840 Professional Fees : Camp Director ( 1 ) : Reports to Executive Director. Experience required with arts and education, organizes classes and locations of classes, represents Cultural Council with instructors, parents and students . Assists parents with locations and transportation. Coordinates evaluation administration and collects required documentation from instructors and students . Required : Bachelor' s Degree; Contracted Position for 518 hours for entire project. Prorated over the months of April ( 13 ), May (52), June ( 150) & August ( 125 ) $ 16 . 50 per hour = $ 8547 Producers (3) : Reports to Camp Director. Each responsible for cohesiveness of a discipline : Visual, Musical, Performing . Each producer coordinates the efforts of each art instructor in their area, troubleshoots logistical concerns, prepares supplies . 110 hours Total $ 15 per hour = $4950 Arts Instructors (16) : Reports to Producer in specified area. Provides lessons in a specific discipline such as visual, musical or performing arts . Assists with administering evaluations, required documentation and reports . Determines need for supplies and materials within the budgetary guidelines . Responsible to Camp Director & Producer and to keep the Cultural Council informed of any concerns or changes in their classes . Maintain a group of children, works a team member towards a common goal; field trip supervision and art instruction. Participates in pre-camp preparation. Required : Experience teaching art to children, experience with a specific artistic skill. Contracted Position for 30 hours Total = $ 8640 Program Evaluator ( 1) : Reports to Executive Director. Administers evaluation of program, interprets findings and screens for potential mental health risk factors for referral . Required : Bachelor' s degree in Psychology or related field, Advanced Degree in Counseling, Registered Art Therapist. Contracted Position for 20 Hours Total. @$20 per hour = $400 Contracted Staff: Supervisors ( 16) : Reports to Producer in specified area. Responsible for assisting Arts Instructors and supervising a group of children. Assists with children needing special assistance or attention in the group . 40 hours per week for two weeks . 80 hours total; Total= $ 12, 800 Administrative Counselor ( 1 ) : Reports to Camp Director. Responsible for attendance and food service records . Manages arriving campers and departing campers . Coordinates field trips and transportation issues . 95 hours for total project $ 15 per hour Total $ 1425 5. How will the target population be made aware of the program ? Summer Cultural Camp applications are sent to all previous campers, all schools in Indian River County, Youth Guidance, Gifford Youth Activities Center, Boys & Girls Clubs, Dasie Bridgewater Hope Center, Children' s Home Society, Homeless Assistance Center. 6. How will the program be accessible to target population (i. e. location, transportation , hours of operation) ? Children will either take a bus to their location and parents/guardians will pick them up, or parents/guardians provide transportation. Hours of Operation are 8 : 00 am — 4 pm, Mon. — Fri. 7 Cultural Council of Indian River County Summer Cultural Camp Children's Services Advisory Committee - Indian River County D . MEASURABLE OUTCOMES (Entire Section D not to exceed two pages) OUTCOMES ACTIVITIES Add all the elements or the Measurable Outcome(s) Add the tasks to accomplish the Outcome (s) 1 . 1 . 1 : To increase the knowledge of theatrical terms On the first day of camp when entire group is and definitions by 50% for children attending assembled, administer theatrical pretest of the Summer Cultural Camp during the two theatre terms . Collect tests weeks of camp by a pretest and posttest group assessment on the first and last days of camp . 1 . 2 : Baseline : Answers from the pretest group On the last day of camp before the Grand assessment on the first day of camp . Finale, conduct posttest of theatre terms . Collect tests 1 . 3 : Compare and contrast first day answers with answers from last day. 2 . 2 . 1 To increase scores of children attending the On the first day of camp when entire group is two weeks of Summer Cultural Camp by 50% assembled, administer theatrical pretest of from pretest to post test on the correlation of theatre terms . Collect tests participating in an ensemble and building skills that can help a person be successful in life. 2 . 2 : Baseline : Test scores from Theatrical Pretest. On the last day of camp before the Grand Finale, conduct posttest of theatre terms . Collect tests 2 . 3 : Compare and contrast first day answers with answers from last day. 8 Cultural Council of Indian River County Summer Cultural Camp Children's Services Advisory Committee - Indian River County 3 . 3 . 1 : To increase post test scores for children Administer Silver Drawing Test as pre-test to participating in the Summer Cultural Camp by participants in program on the first day of the 10% in one funding year as reported by the Summer Cultural Camp . Silver Drawing Test of Cognition and Emotion. 3 . 2 : Baseline : Pre-Test Scores on the Silver Administer Silver Drawing Test as post-test to Drawing Test of Cognition and Emotion. participants on the morning of the last Thursday of Camp . 3 . 3 : Identify children with risk factors indicated by test results . 3 . 4 : Notify parents/guardians of children identified with risk factors to appropriate referral sources . 3 . 5 : Compare Pre & Post Test Results 9 Cultural Council of Indian River County Summer Cultural Camp Children's Services Advisory Committee . Indian River County E. COLLABORATION Entire Section E not to exceed one page) 1 . List your program ' s collaborative partners and the resources they are providing to the program beyond referrals and support. (See individual funder requirements for inclusion of collaborative agreement letters . Collaborative Agency Resources provided to the program Gifford Youth Activities Center Facilities for instruction Ongoing communication & assessment Participation in evaluation Boy ' s & Girls Clubs Facilities for instruction Ongoing communication & assessment Participation in evaluation Dasie Bridgewater Hope Center Facilities for instruction Ongoing communication & assessment Participation in evaluation Children' s Home Society Facilities for instruction Ongoing communication & assessment Participation in evaluation Indian River County School District Facilities for instruction Ongoing communication & assessment Assistance with transportation Provides Food Service Assistance Laura Riding Jackson Foundation Facilities for instruction Ongoing communication & assessment Participation in evaluation Substance Abuse Council Provides Instruction — In Kind Ongoing communication & assessment Participation in evaluation Youth Guidance Volunteer Program Provides Teen Volunteers Provides Program Fees Ongoing communication & assessment Participation in evaluation Indian River County Recreation Provide Pool Use Department Assistance with transportation Ongoing communication & assessment Partici n * on in evaluation 10 Cultural Council of Indian River County Summer Cultural Camp Children's Services Advisory Committee - Indian River County F. PROGRAM EVALUATION (Entire Section F not to exceed two pages) 1 . DEMOGRAPHICS : What information (data elements) will you need to collect in order to accurately describe your target population including demographics (age, gender and ethnic background) required by the funder in Section H? What are the pieces of information that qualify them for your target population ? How do you document their need for services or their `unacceptable condition requiring change" from Section B19 Necessary data elements will be collected from referral forms, it will be indicated that the information will be used for grant reporting purposes only. Children that are participating in the free or reduced lunch program or children with risk factors identified by the student support specialist or teacher from the school are eligible, along with an interest in learning about the arts are the criteria that qualifies them for this program. The presence of any of these risk factors indicates the need for services and the indicated risk factors will be documented for reference in the database. This information will be shared with the appropriate staff, which will then take it under advisement. 2 . MEASURES : What data elements will you need to collect to show that you have achieved (or made progress toward) your Measurable Outcomes in Section D ? What tools or items are you using as measures (grades, survey scores, attendance, absences, skill levels) for your program ? Are you getting baseline information from a source on your Collaboration List in Section E ? Are there results from your Activities in Section D that need to be documented ? How often do you need to collect or follow-up on this data ? • Referral Form for use by Instructors, Teachers and Student Support Specialists . • Database of participating students, including demographic information and indicated risk factors. • Administer Pretest of theatre terms and the Silver Drawing Test on first day. • Conduct Post-test of theatre terms and Silver Drawing Test day of Grand Finale . • Identify children with risk factors indicated by test results . • Notify parents/guardians of children identified with risk factors to appropriate referral sources. • Compare Pre & Post Test Results 3. REPORTING: What will you do with this information to show that change has occurred ? How will you use or present these results to the consumer, the funder, the program , and the community? How will you use this information to improve your program ? The most important information gathered would be the presence of risk factors indicated by the referring entity, instructors during the course of the program or at the end of the program. Parents and Guardians will be involved in addressing these risk factors . A final report, including all test results will be shared with the funder. The Silver Drawing test results will be pooled with the researchers national data. All final reports are open to the public for review. 11 Cultural Council of Indian River County Summer Cultural Camp Children's Services Advisory Committee . Indian River County G. TIMETABLE (Section G not to exceed one page) 1 . List the major action steps, activities or cycles of events that will occur within the program year. New programs should include any start-up planning that may occur outside the funding year. In completing the timetable, review information detailed in prior sections. Month/Period Activities May 2004 • Contact all previous campers, previous staff, schools and collaborative partners; notify for applications . • Assemble referrals from schools, returning campers and collaborative partners . • Create updated databases • Assemble staffing • Secure Facilities June 2004 • Determine the Theme of Camp Program • Work with Producers to determine appropriate activities • Start working on supply list • Start framework for scheduling activities July 2004 • Finalize staffing • Finalize campers • Finalize classes August 2004 • Summer Camp Program is conducted • Conduct Pretest/Posttest; Silver Drawing Test • Identify children with risk factors indicated by test results. • Notify parents/guardians of children identified with risk factors to appropriate referral sources . September 2004 . Prepare Final Report 12 Cultural Council of Indian River County Summer Cultural Camp Children's Services Advisory Committee - Indian River County H. PROJECTIONS FOR UNDUPLICATED CLIENTS Number of Unduplicated Clients by Location M1{`•i•`nM1`.. : V:f} }M1} . . . . .44VYJ}M1;•�tM1. . .M1 V . . ML: .}Y '••':•V. 'R•f4:•:•}:•:•: Current Fiscal Year . "` €aK< :f Budget 2002/03 t `0 > : Location .x.M1 :'ii2M1 .::.:::M1M1•.M1w:.M1M1M1M1v.M1 . . .Y..M1 .w:. . . . . . . nM1M1.. .. . . . . . ..Y. . . . . .M1M1M1 .M1 x•.{M1xxx::v:::nV •nv: - Unduplicated Clients Unduplicated Clients Unduplicated Clients N. Indian River County 35 63 63 S . Indian River County 213 200 200 Indian River Co. Total 248 263 263 Greater Stuart - - Hobe Sound - - Indiantown - Jensen Beach - - Palm City - - Martin County Total - - Fort Pierce - Port Saint Lucie - - St. Lucie Co. Total - - - Okeechobee County - - Palm Beach County - - TOTAL SERVED 248 263 263 Number of Undu licated Clients by Age M1M1::}2{„G'M1<•. .}•::c,:. ..N.M1�:1• : ...M1x. .. M1 ;;:{r{;?�:o:�ii:: : y,:;`.•:y{:`:�ic�.:; {.;i: :y:M1M1..^•,M1,fi•,•.'`'?.2C .: ';..�M1y'tM1.: 'Y?y�^.yw2{ ti}�f:;:.:�;t`M1YC.::`.72� .. FCM1M1:2};{::.';• :'3:i`?2: 4..M1x .{.fi:}1V:41 :M1•.:•. M1VYA:{M1M1{ .'::•L.;:.•.•:•Jf:::::::.1•:.•:•: 't`{'•'f vt"}��..:i�£•`Fu• .M1•i:•.Y :V'h3�tx}•.•::.?} v,.M1..4 M1 . : 't`.M1M1}•.:.:{.;.;.}:.}'.} •:M1i{`.YN:}h' .xM1Y.l•VV//•. •N.VYY{ .M1M1V . ': :.::M1} .4•: .�`.M1} : • •M1 '1 M1•F`M1i'V.•-•:'�• ;. {'i},•, �• • M1i2};n � }•, •+{+�•iy.$M1'�4. : {}.;:{•M1.•L•'i�•:Jn• . Current Fiscal Year {:...•fAtiV}'M1Y{}. ':xM1\4V 'Ld•F.{ t'€} �M1M1V µx Location �•:Jk M1{.ht`}4xM11}V•hVY}:K}:{:{}:}j•M1Lf•.Vry•<h': ti{ Y:1:1'•Y.hM1L}VK}:;{l:�:�:�4:•}M1}M1}i:•}}•�'`�:'}::}':X`J:AtV:.::: Budget 2002/03 n ` ' ? "; Mwx.M1 .r. },. Individuals Group . :{ }}. .. . . . ..:.. .. .}� . . .}M1P:}}•.Y•:•{.<�'}} •.Y..{xM1;;.}• • . x},}:,n2:Y:.: w.:..vn�V�v:•x .... . . . . . . . . ::: 0 to 4 - (Pre-school) - - - - - 5 to 10 - (Elementary) 122 - 115 - 115 11 to 14 - (Middle) 126 - 136 - 136 - 15 to 18 - (High School) - - 12 - 12 - 19 to 59 - (Adults) - - - 60 + (Seniors) - - - - - TOTAL SERVED 248 - 263 - 1 263 t - 13 Cultural Council of Indian River County Summer Cultural Camp Children's Services Advisory Committee - Indian River County Demographic Information on Clients Served by This Program �/":' '}}• •'M1:':':•}•}} •l:V:•titi AL{1'Ltiti':{•:::{{I•'•i' J::'Jf:;:\4'::`:L}�ti{L'ti':?.ti:};.;:4:.}'h1•.ft.L':.}• •. . JA41},l,:. h'. ii ~{ti�:::•:::'i. {F':.;.;.�;}: '�l}}}••}}f•}••}}'.:•}}t�V•:•}::. .. }`.i:•}:.}� ::• `:•.}�{� }�:�.ti{tit':{V�ti,�•: i?ice'.•:{' •::.tM1}.. :L}.f{•:::•:{ r•:s:{...... . :1.:••.• l4.lry.M1M1'M`.{.M1M1.�/` }...ww I.- --- - - - I:'}M1�}} 'IK:•}1~M1M1M1•` L�••{\j�L��4V:{l}•: '.f: v�c ''.'•>%:. zx;r :: } !;:wM1.}•?{:?•w: K #� •:.M1 .. 66Current Fiscal Year `:.< ' '+ :`7`•{.•...'<,`M1'•.•..r••'+.':•':::.'.`M1? `• ;:?;i: :::Y{«.`• Y:::::h�t?:.��}::}'t:::;•".`yt ::•}:r:•}::} ••x}r}}}};:.} .r: . :' . " . M1;. :: M1 1 ' t : �v Budget 2002/03 •: .tt:•ii{{: Families s~;: ;:; Individuals Families Served 248 229 263 226 263 226 Single Parent 188 189 - 189 Two Parent 41 - 37 37 Teen Parents Served - - - - Ethnicity/Race - - - White 75 63 82 83 82 83 Black/African American 131 91 148 105 148 105 Asian/Pacific Islander 0 - 2 1 2 1 American Indian 0 - - Hispanic 42 34 _ 31 37 31 37 Haitain Other Subtotal 248 188 263 226 263 226 14 Cultural Council of Indian River County/Summer Cultural Camp Children's Services Advisory Committee - Indian River UNIFORM GRANT APPLICATION BUDGET NARRATIVE WORKSHEET IMPORTANT: The Budget Narrative should provide details to justify the amount requested in each line item of the budget for your program. From this worksheet, your figures will be linked to the Total Agency Budget, Total Program Budget and Funder Specific Budget Forms. AGENCY/PROGRAM NAME : Cultural Council of Indian River County/Summer Cultural Camp FUNDER : Children 's Advisory Committee - Indian River County CAUTION : Do not enter any figures where a cell is colored in dark blue - Formulas and/or links are in place. Gray areas should � � be used for calculations and to write information only. Fr 1 Children's Services Council-St. Lucie 0.00 2 Children's Services Council-Martin 0.00 Ma 3 Children's Services Council-Okeechobee 0.00 4 AdvisoryCommittee-Indian River 53,000.00 53,000.00 88 ,000.00 5 United Way-St. Lucie County0.00 0 .00 6 United Way-Martin County 0 .00 7 United Way-Okeechobee County 0.00 8 United Wa -Indian River County 0 .00 9 Department of Children & Families 126 , 114 .00 10 County Funds 11 Contributions-Cash 4,250 .00 31000.00 1 ,000.00 12 Program Fees 13 Fund Raising Events-Net 15,000.00 0.00 14 Sales to Public " Net 9,000.00 15 MembershipDues 250.00 16 Investment Income 17 Miscellaneous - License Plate Funds 9,000.00 - - 0.00 18 Legacies & Bequests 19 Funds from Other Sources 51320 .00 79000.00 0.00 20a Reserve Funds Used for Operating 20b In-Kind Donations (Not Included in total) 9111000.00 . 0.00 21 TOTAL REVENUES (doesn't Include line 20b)FAM $62,570.00 $5311000.00 $258,364 .00 Y2 Salaries - (must complete chart on next page) 840.001 840 .00 73 ,000 .00 23 FICA - Total salaries x 0.0765 " 64.26 9,600.00 Retirement --Annual pension tor qua I ie 0.00 24 staff Life/Health - e ica enta ort- erm 0.00 7,000.00 25 Disab . Workers Compensation - # employees x 0.00 26 rate ori a Unemployment - # prolec e 27 employees x $7,000 x UCT-6 rate 0.00 15 5n&2003 Cultural Council of Indian River County/Summer Cultural Camp Children's Services Adviso Committee - Indian River t � . ,. 3 .00° 28,000.00 840.00 840.00 Bookeeper #DIV/01 #DIV/0! #DIV/O! #DIV/0! #DIV/0! #DIV/O! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0 ! #DIV/0 ! #DIV/0 ! #DIV/O! #DIV/0! #DIV/0! #DIV/0! #DIV/O! #DIV/0! Remaining positions throughout the agency 451000.00 Total Salaries -$73,000.001 $840.00 $840 .00 150/ e 64.261 Bookeeper T 840.00 64.26 0 .0 0 0.00 0.00 0.0 0 0.001 0.00 0.0 0 0.00 0.00 0 .0 0 0.001 0.00 0.0 01 0 0.001 0 .00 0.0 0 0 .001 0.00 0.0 0 0.00 0.00 0.0 0 0:00 0.00 0.0 0 0.001 0.001 0.0 0 0.00 0.00 0.0 01 0 0.00 0.00 0.001 0 0.00 0.00 0 .0 01 0 0.00 0.00 0.001 0 0.001 0.00 0.001 0 0.00 0.00 0.001 0 0.00 0.00 0.0 0 0.00 0.00 0.04 0 0.00 0.00 0 .0 0 0.00 0 .00 Total Funder Request Fringe Benefits $840.00 $64.26 $0.00 $0 .00 $0 .00 $0.00 $64 .2 0 16 5/28/2003 Cultural Council of Indian River County/Summer Cultural Camp Children's Services Advisory Committee - Indian River 4,000.00 4 ,000.00 59000 .0 01 28 Travel-Daily Bus Mileage paid in 2002: $4403 29 Travel/Conferences/Training 1 ,000 .00 0 .00 2t000 .001 • National Conference (cost per staff) = • Training/Seminar (cost per staff) • Other Trainings (cost of travel, lodging , registration, food) " 00 30 Office Supplies 240.00 2 240 00 f 500. $20 per month x 12 months = $240g- 31 Telephone 110.00$240110.001 3 ,500.00 1 phone line 1 /3 cost of phone lines = $110 32 Postage/Shipping 240 .00 240.00 2,000.00 5 mailings per year to participating students, instructors,organizations 130 per mailing @ .37 per piece = $48. 10 x 5 = $240 33 Utilities 0.00 0.00 0.00 Included in Occupancy MW 01 34 Occupancy (Building & Grounds) 21224.00 1 ,000.00 10 ,000.00 10,000 yearly cost / 12 = $833 per month ; Program takes one of three workstations for 8 t months $833 divided by 3 = $278 per month = $278 x 8 = $2224 35 Printing & Publications 504.001 168 .00 15,000 .00 >, 500 copies per month @ .03 = $15 per month x 4 months = $480 ; Paper for copies 4 reams x $6 = $24 TOTAL: $504 = 36 Subscription/Dues/Memberships 150 .00 150.00 21000.00 12 ,000.00 37 Insurance 7 ,000.00 z 3,321 .00 $2380 Workman's Comp; $4500 General v u - Liability; $441 Student Accident Total: $7321 38 Equipment: Rental & Maintenance 0.00 0.00 2,800.00 39 Advertising 0.00 0.00 11700.00 s 40 Equipment Purchases :Capital Expense 0.00 0.00 2,000 .00 New Scanner & Color Printer - 41 Professional Fees (Legal, Consulting) 22,537 .00 22 ,537.00 35,764 .00 Camp Director: 518 Hours x $16/hr = $8547; Producers; 110 Hours x $15/hr = $4950; Art Instructors $540 x 16 = $8640; Program Evaluator 20 hrs x $20 = $400 TOTAL: $22537 - 42 Books/Educational Materials 49750.00 4,750.001 12 ,500 .00 $250 x 19 (16 instructors & 3 Producers) = Y $4750 43 Food & Nutrition 3 ,000-001 0.00 5 ,000.00 _ - • Meals ( # meals x clients x 5days x 50 wks) • Snacks : -: 44 Administrative Costs 0 .00 0.00 0.00 Admin . Cost (% of total budget) , " n 5/28/2003 Cultural Council of Indian River County/Summer Cultural Camp Children's Services Advisory Committee - Indian River 45 Audit Expense 1 ,750.00 11500.00 51000. 00 Independent Audit Review 46 Specific Assistance to Individuals 47 Other/Miscellaneous • Background check/drug test • Other 48 Other/Contract 14,225.00 14,225.00 50,000.00 e . Supervisors: 16 x $800= $12800; Admin . Counselor 95 hrs @ $15 = $1425; Recreation Counselor 20 hrs @$10= $200 49 TOTAL EXPENSES $62,570.00 $5311145 .26 $258 ,364.00 18 5/28/2003 Cultural Council of Indian River County/Summer Culturaf Camp Children's Services Committee - Indian River UNIFORM GRANT APPLICATION TOTAL AGENCY BUDGET AGENCY/PROGRAM NAME: Cultural Council of Indian River Count /Summer Cultural Cam FY 01102 FY 02103 FY 03/04 % INCREASE FYE_ 09/30/02_ E_ 09/30103_ FYE_09/30104 CURRENT VS. NEXT FY BUDGET A B C D ACTUAL TOTAL PROPOSED (col. C-col. Bycol. B REVENUES BUDGETED BUDGETED 1 Children's Services CouncilSt, Lucie 0.00 0.00 0.00 #DIV/01 2 Children's Services Council-Martin 0.00 0.00 0.00 #DIV/01 3 Children's Services Council-Okeechobee 0.00 0.00 0.00 #DIV/01 4 Advisory Committee-Indian River 24 500.0088 000.00 88 000.00 0.00% 5 United Way-St Lucie County 0.00 0.00 0.00 #DIV/01 6 United Way-Martin County 0.00 0.00 0,001 #DIV/01 7 United Way-Okeechobee County 0.00 0.00 0.00 #DIV/01 8 United Way-Indian River County 0.00 0.00 0.00 #DIV/01 9 Department of Children & Families 0.00 0.00 0.00 #DIV/01 10 County Funds 68 591 .00 108 020.00 126 114.00 16.75% 11 Contributions-Cash 425O.00 51000.00 300000 -40.00% 12 Program Fees 940.00 11000.00 110001001 0.00% 13 Fund Raising Events-Net 17 500.00 30 000.00 15 000.00 -50.00% 14 Sales to Public-Net 0.00 0.00 0.00 #DIV/01 15 MembershipDues 82000.00 89000,00 99000,00 12.50% 16 Investment Income 106.00 200.00 250.00 25.00% 17 Miscellaneous 59524.001 8 000.00 91000, O 12.50% 18 Legacies & Bequests 0.00 0.00 0.00 #DIV/01 19 Funds from Other Sources 61400.00 72000.00 7000.00 0.00% 20a Reserve Funds Used for Operating 0.00 0.00 0.00 #DIV/01 lob In-Kind Donations punt Included In total) 0.00 #DIV/01 21 TOTAL 135,81 255 220.00 258 364.00 1 .23% EXPENDITURES 22 Salaries 65 930.00 90 920.00 73 000.00 -19.71 % 23 FICA 52040.00 14 400.00 91600,00 -33.33% 24 Retirement 0.00 0.00 0.00 #DIV/01 25 Life/Health 4v825.00 99000,00 7,000,00 -22.22% 26 Workers Compensation 0.00 0.00 0.00 #DIV/01 27 Florida Unemployment 0.00 0.00 0.00 #DIV/01 2s Travel-Daily 172.00 59000,001 59000.001 0.00% 29 Travel/Conferences/Training 12505,00 2 000.00 29000.00 0.00% 30 Office Supplies 1 t773,00 21000,00 2 500.00 25.00% 31 Telephone 2 257.00 39500,00 31500.001 0.00% 32 Postage/Shipping 2,356,00 21000,00 29000,00 0.00% 33 Utilities 0.00 0.00 0.00 #DIV/01 34 Occupancy B ilding & Grounds 61224.00 10 000.00 10 000.00 0.00% 35 Printing & Publications 79294.00 10 000.00 15 000.00 50.00% 36 Subscription/Dues/Memberships 19125,00 2 000.00 29000.00 0.00% 37 Insurance 92050.00 12 000.00 1200000 0.00% 38 E ui ment:Rental & Maintenance 1 978.00 2 000.00 2800.00 40.00% 39 Advertising 1 684.00 39000,00 19700.00 -43.33% 4o Equipment Purchases:Ca ital Expense 0.00 0.00 2,000.00 #DIV/01 41 Professional Fees (Legal, Consulting) 12000.00 34 900.00 35v764.00 2.48% 42 Books/Educational Materials 3,804,00 12 500.00 12 500.00 0.00% 43 Food & Nutrition 29800.00 51000.00 51000.00 0.00% 44 Administrative Costs 0.00 0.00 0.00 #DIV/01 45 Audit Expense 41000,00 59000.00 500000 0.00% 46 Specific Assistance to Individuals 0.00 0.00 0.00 #DIV/01 47 Other/Miscellaneous 0.00 0.00 0.00 #DIV/01 48 Other/Contract 13 000.00 30 000.00 50 000.00 66.67% 49 TOTAL 135 817.00 255 220.00 258 364.00 1 .23% s0 REVENUES OVER/ UNDER EXPENDITURES -6.001 0.00 0.00 #DIV/01 War= is Type aw Ogmftiow vd PMWM Nana UNIFORM GRANT APPLICATION TOTAL PROGRAM BUDGET AGENCY/PROGRAM NAME: Cultrual Council of Indian River County/ Summer Cultural Cam FY 01/02 FY 02103 FY 03/04 % INCREASE FYE_09/30/02 FYE_09/30/03 FYE_09/30104_ CURRENT VS. NEXT FY BUDGET A B C D ACTUAL TOTAL PROPOSED (col. C-col. Bacol. B REVENUES BUDGETED BUDGETED 1 Children's Services Council-St Lucie 0.00 0.00 0.00 #DIV/01 2 Children's Services Council-Martin 0.00 0.00 0.00 #DIV/01 3 Children's Services Council-Okeechobee 0.00 0.00 0.00 #DIV/01 4 AdvisoryCommittee-Indian River 51 156.00 53 000.00 53 000.00 0.00% 5 United Way-St. Lucie County0.00 0.00 0.00 #DIV101 6 United Way-Martin County0.00 0.00 0.00 #DIV/01 7 United Way-Okeechobee County0.00 0.00 0.00 #DIV/01 8 United Way-Indian River County0.00 0.00 0.00 #DIV/01 9 Department of Children & Families 0.00 0.00 0.00 #DIV/01 10 CountyFunds 0.00 0.00 0.00 #DIV/01 11 Contributions-Cash 49500.00 4x603.00 4,250.00 -7.67% 12 Program Fees 0.00 0.00 0.00 #DIV/01 13 Fund Ralsinq Events-Net 0.00 0.00 0.00 #DIV/01 14 Sales to Public-Net 0.00 0.00 0.00 #DIV/01 15 Membership Dues 0.00 0.00 0.00 #DIV/01 16 Investment Income 0.00 0.00 0.00 #DIV/01 17 Miscellaneous 0.00 0.00 0.00 #DIV/01 18 Legacies & Bequests 0.00 0.00 0.00 #DIV/01 19 Funds from Other Sources 943.00 59320.00 532000 0.000/0 20a Reserve Funds Used for Operating 0.00 0.00 0.00 #DIV/01 20b In-Kind Donations (Not Included In coal 90000.001 0.00 91000.00 #DIV/01 21 TOTAL 65 599.00 62 923.00 62g570,00 -0.56% EXPENDITURES 22 Salaries 0.00 0.00 840.00 #DIV/01 23 FICA 0.00 0.00 0.00 #DIV/01 24 Retirement 0.00 0.00 0.00 #DIV/01 25 Life/Health 0.00 0.00 0.00 #DIV/01 26 Workers Compensation 0.00 0.00 0.00 9DIV/01 27 Florida Unem to ment 0.00 0.00 0.00 #DIV/01 28 TravelZally 49403,00 51040,00 4 000.00 -20.63% 29 Travel/Conferences/Training 0.00 0.00 19000.00 #DIV/01 3o Office Supplies 0.00 0.00 240.00 #DIV/01 31 Telephone 79.00 108.00 110.00 1 .85% 32 Postage/Shipping 236.00 400.00 240.00 -40.00% 33 Utilities 0.00 0.00 0.00 #DIV/01 34 Occupancy Buildin & Grounds 1 305.002 000.00 29224.00 11 .20% 35 Printing & Publications 450.00 500.00 504.00 0.80% 36 Subscription/Dues/Memberships 0.00 650.00 150.00 -76.92% 37 Insurance 99049.001 72000.000 79000,001 0.00% 38 E ui ment:Rental & Maintenance 0.00 0.00 0.00 #DIV/01 39 Advertising 0.00 0.00 0.00 #DIV/01 4o Equipment Purchases:Ca ital Expense 0.00 0.00 0.00 #DIV/01 41 Professional Fees (Legal, Consulting) 24 877.00 22 000.00 22 537.00 2.44°/6 42 Books/Educational Materials 49500.001 5§000100 4 76O.00 -5.00% 43 Food & Nutrition 3 000.00 32000,00 300000 0.000/6 44 Administrative Costs 0.00 0.00 0.00 #DIV/01 45 Audit Expense 19300.00 21000.00 11750,00 -12.50% 46 Specific Assistance to Individuals 0.00 0.00 0.00 #DIV/01 47 Other/Miscellaneous 0.00 0.00 0.00 #DIV/01 48 Other/Contract 16 400.00 15 225.00 14 225.00 -6.57% 49 TOTAL 65 599.00 62 923.00 62 570.00 -0.56% 50 REVENUES OVER/ UNDER EXPENDITURES 0.00 0,001 0.00 #DIV/01 6WAM 20 Cultural Council of Indian River County/Summer Cultural Camp Children's Services Advisory Committee - Indian River UNIFORM GRANT APPLICATION FUNDER SPECIFIC BUDGET PROGRAM EXPENSES AGENCY/PROGRAM NAME : Cultural Council of Indian River County/ Summer Cultural Camp FUNDER : Children 's Services Advisory A B C FY 03/04 FY 03/04 % INCREASE TOTAL FUNDER TOTAL VS . PROGRAM SPECIFIC FUNDER REQUEST BUDGET BUDGET (col. B/col. A EXPENDITURES 22 Salaries 840.00 840 .00 100 .00% 23 FICA 0 .00 64.26 #DIV/01 24 Retirement 0 .00 0 .004V10 ! 25 Life/Health 0.00 0. 00V/0 ! 26 Workers Com ensation 0.00 0 .00V/0 ! 27 Florida Unemployment 0 .00 0 .00 #DIV/01 28 TravelmDaily 4,000 . 00 4,000 .00 100 .00% 29 Travel/Conferences/Training 10000 .00 0 . 00 0 .00% 30 Office Supplies 240 .00 240 .00 100 .00% 31 Telephone 110. 00 110 .00 100 .00% 32 Postage/Shipping 240 .00 240.00 100.00% 33 Utilities 0.00 0 .00 #DIV/01 34 Occupancy (Building & Grounds 2 ,224.00 11000 .00 44.96% 35 Printing & Publications 504.00 168.00 33 . 33% 36 Subscription/Dues/Memberships 150 .00 150 .00 100. 00% 37 Insurance 79000 .00 3 ,321 .00 47 .44% 38 Equipment: Rental & Maintenance 0 .00 0 .00 #DIV/01 39 Advertising 0 .00 0.00 #DIV/01 4o Equipment Purchases : Ca ital Expense 0 .00 0 .00 #DIV/01 41 Professional Fees ( Legal , Consulting ) 229537 .00 22 , 537 .00 100 .00% 42 Books/Educational Materials 4,750 .00 41750 .00 100 .00% 43 Food & Nutrition 3 ,000.00 0 .00 0 .00% 44 Administrative Costs - 0 .00 0 .00 #DIV/01 45 Audit Expense 1 ,750 .00 19500.00 85 .71 % 46 Specific Assistance to Individuals 0 . 00 0 .00 #DIV/01 47 Other/Miscellaneous 0 .00 0 .00 #DIV/01 48 Other/Contract 149225 .00 14,225.00 100 .00% 49 TOTAL $62 ,570 .00 $539145 .26 $0 .85 5rzer2003 21 me'�"i ��'aah3 �aus�.`�fi«n, s ;�3�*.�"" '` ` i ''�::" � yea � ' .�.^�..�,� ."'�^ _.�.. ��...�,.�, ::; .y�, , y'��' � ' •� � ,ro � .�° - � �V`,. . ��s.."�- �'a��ee'��..,: 5 �, � a i i MIM i Mork i O i . D l i MT OLYi Cultural Council of Indian River County/Summer Cultural Camp Children's Services Advisory Committee UNIFORM • • • EXPLANATION . - VARIANCES . OR MORE FUNDER SPECIFIC BUDGET AGENCYIPROGRAM FUNDER: Children's Services Advisory Council Salaries 3% of m k 'y .� � : `z wt+`,�3.�ir �"a � �•_, aa` >'�iv S�aS =� � ' # 8 R ' ' • e��' �E € x' � .� zS-i�' a�ca`?Ev�*,a, •'.�'t uS�" �� 111 salary forBookkeeper #DIVIOI #DIVIOf Travel-Dally - _ • - paid in 2002: $4403 • 1 per • • 1 phoneTelephone I phone line 1 /3 cost of 1 Postaae/Shipping 5 mailings per year to participating students, instructors,organizations1 per n .37 perpiece $48. 10 1 #D 01 Occupancy Printina & Publications11copies - @ .03 per • nths = $480 ;Paperforcopies - • 1 Insurance : 1Workman's • 11 General Uability; $441 Student Accident Total: $7321 #DIVIOf #DIVIOI • Director. - 1 1 • 1 �8640; Program Professional Fees (Legal, Consulting) Evaluator 1 1 11TOTAL: Books/Educational Materials 1 1 #DIVIOI -Audit Expense 11 , 1/4 of audit expense #DIVIOI W1 Cultural Council of Indian River County Summer Cultural Camp Children's Services Advisory Committee - Indian River County Indian River Board of County Commissioners 184025 th Street Vero Beach , FL 32960 AUTHORIZATION FOR RELEASE OF INFORMATION Indian River County and Cultural Council of Indian River County are in the process of negotiation of a contract for a Summer Cultural Camp Indian River County is authorized to make an investigation of the Agency/ Individual regarding its experience and qualifications . The Agency/Individual authorized the release of all relevant information concerning prior services furnished , contracts and background information of the Agency/Individual . The Agency/ Individual authorizes any individual or organization that is in possession of relevant factual contract and background information , to release such data to Indian River County in response of the County' s request . When an individual employee of the Agency signs Authorization for Release of Information , such individual authorizes the County to obtain relevant background information concerning such employee' s criminal record , if any , and such other information that may be relevant to employee' s good character and work experience . Authorization is given here by the Agency/ Individual and such employees who execute this authorization with the understanding and limitation that Indian River County will utilize the information obtained for the purposes set forth herein and that such information shall not be disclosed to third parties except as provided by law. Name Agency/Individual : Cultural Council of Indian River County Name Employee Providing authorization : Mary Jayne Kelly Signature ( in blue ink) Date , 0 63 o� � Cultural Council of Indian River County Summer Cultural Camp Children's Services Advisory Committee - Indian River County SWORN STATEMENT UNDER SECTION 105 . 08 , INDIAN RIVER COUNTY CODE, ON DISCLOSURE OF RELATIONSHIPS THIS FORM MUST BE SIGNED IN THE PRESENCE OF A NOTARY PUBLIC OR OTHER OFFICER AUTHORIZED TO ADMINISTER OATHS , 1 . This sworn statement is submitted with RFP No . 5054 for Summer Cultural Camp 2 . This sworn statement is submitted by : Cultural Council of Indian River County whose business address is : 214514 th Avenue , Suite 11 , Vero Beach , Florida 32960 and ( if applicable ) its Federal Employer Identification Number ( FEIN ) is 59 -3299133 3 . My name is Mary Jayne Kelly and my relationship to the entity named above is Executive Director 4 . 1 understand that an " affiliate" as defined in Section 105 . 08 , Indian River County Code , means : The term " affiliate" includes those officers , directors , executives , partners , shareholders , employees , members , and agents who are active in the management of the entity. 5 . 1 understand that the relationship with a County Commissioner or County employee that must be disclosed as follows : a �- Cultural Council of Indian River County Summer Cultural Camp Children's Services Advisory Committee - Indian River County Father, mother, son , daughter, brother, sister, uncle , aunt, first cousin , nephew, niece , husband , wife , father-in-law, mother-in- law, daughter- in-law, son-in-law, brother-in-law, sister-in-law, stepfather , stepmother, stepson , stepdaughter, stepbrother, stepsister, half brother, half sister, grandparent , or grandchild . 6 . Based on information and belief, the statement which I have marked below is true in relation to the entity submitting this sworn statement. [ Please indicate which statement applies . ] Neither the entity submitting this sworn statement , nor any officers , directors , executives , partners , shareholders , employees , members , or agents who are active in management of the entity , have any relationships as defined in section 105 . 08 , Indian River County Code , with any County Commissioner or County employee . _X The entity submitting this sworn statement , or one or more of the officers , directors , executives , partners , shareholders , employees , members , or agents , who are active in management of the entity have the following relationships with a County Commissioner or County employee : Name of Affiliate Name of County Commissioner Relationship or entity or employee Cultural Council of Mr. Ken Macht Board Member Indian River County So Cultural Council of Indian River County Summer Cultural Camp Children's Services Advisory Committee - Indian River County (A/tj 4Pf V..,x si nature ) ---- -- - - ( date ) STATE OF f U (6 D A COUNTY OF IkPiAk � 1WEL The foregoing instrument was acknowledged before me this Zh I * day of lkq , 20 D3 , by MACV JA1 tiL U uky , who is personally known to me or who has produced as identification . NOTARY PUBL�C SIGN : va Yl PRINTC6" . State of Florida at Large My Commission Expires : ( Seal ) AA DEBRA G . VAN MELE „mA,W ComMISuav # CCt 55169 ruwc , EXPIRES 1UL l5, 2003 RAS dph1DED TNRC , 2 ADVAMAOf SMARY o7 Cultural Council of Indian River County Summer Cultural Camp Children's Services Advisory Committee - Indian River County NOT FOR PROFIT AGENCY CERTIFICATION The County of Indian River requires , as a matter of policy , that any Consultant or firm receiving a contract or award resulting from the Request for Qualifications issued by the County of Indian River, Florida , shall make certification as below. Receipt of such certification , under oath , shall be a prerequisite to the award of contract and payment thereof. I (we) hereby certify that if the contract is awarded to me , our firm , partnership , or corporation , that no members of the elected governing body of Indian River County , nor any professional management, administrative official or employee of the County , nor members of his or her immediate family, including spouse , parents , or children , nor any person representing or purporting to represent any member or members of the elected governing body or other official , has solicited , has received or has been promised , directly or indirectly, any financial benefit , including but not limited to a fee , commission , finder's fee , political contribution , goods or services in return for favorable review of any Proposal submitted in response to the Request for Qualifications or in return for execution of a contract for performance or provision of services for which Proposals are herein sought. The undersigned certifies that he/she is a principal or officer of the firm applying for consideration and is authorized to make the above acknowledgments and certifications for and on behalf of the applicant . The undersigned certifies that the Applicant has n6t .heen convicted of a public entity crime within the past 36 months , as set forth in Section 287 . 133 , Florida Statutes. Failure to sign this form will result in disqualification. Handwritten Signature of Authorized Principal (s) : DATE : l93 v NAME : Sheila B . Tucker TITLE : Chairman of the Board of Directors NAME OF FIRM/PARTNERSHIP/CORPORATION : Cultural Council of Indian River County FOR AND ON BEHALF OF THE APPLICANT : Sworn to and subscribed to me , a Notary Public, this day of 01W , 2003 . BY: 6fzt �1(� ra �( � LL- (SEAL) (TYPE NAME & TITLE) r VAN MEt E r-r'A55169 DFBRA G. V A�Cg169 CEXpIRES UL 1S, 3 /TAM boom AOVVMO BOARD OF DIRECTORS Cv�.Huof(-c .-1 Q�o�Ayu I CP oTnC , ay) 1v---Pc C.0 v 'j"r aL 1+ Name Home or Work Mailing Address Home or Work Phone Number I Ray Adams 3065 Buckinghammock Trail, Vero Beach, FL 32960 (W) 567-6600 2 Janice Broda 12396 North AIA, Vero Beach, FL 32963 (I) 589-0319 3 Richard Brown 4116 Indian River Drive, Vero Beach, FL, 32963 (W) 2344467 4 Nancy Bryant 1550 Old Dixie Hwy. , Vero Beach, FL, 32960 (W) 5674045 5 Jafar Falasiri 2370 North US 1 , Vero Beach, FL 32060 (W) 5624150 6 Barbara Ferrell 875 Cresent Beach Rd. , Vero Beach, FL 32960 (H) 231 -2734 7 Ellen Fisher 1580 5h Court, Vero Beach, FL 32963 (W) 772-595 -9845 8 Dr. Phillip Flynn 140 38"' Court, Vero Beach, FL, 32968 (H) 216- 5732 9 Peter Ford 1789 Coral Way, Vero Beach, FL, 32963 (H) 2344749 10 Patti Gibbons 5600 US Hwy 1 North, Ft. Pierce, FL 34946 (W) 465 -2400 X226 11 Dorothy Hudson 2903 Cardinal Drive, Vero Beach, FL 32963 (I) 231 -4748 12 Mary Knapp 4831 S . Newport Drive, Vero Beach, FL, 32967 778 -3471 13 Marcia Loewinger 49 Royal Palm Pointe, Vero Beach, FL 32960 (W) 569- 5056 14 Ken Macht 1840 25g` Street, Vero Beach, FL, 32960 (W) 567- 8000 x490 15 Susan Mallinson 1665 St. David ' s Lane, Vero Beach, FL, 32967 (H) 562-2203 16 Barbara Miller 131 Twin Island, Vero Beach, FL, 32963 2344569 17 James Ostrand 1856 SE Dranson Circle, Port St , Lucie, FL 34952 (W) 562-2365 18 Robert Richardson 966 34h Ave. , Vero Beach, FL, 32960 (I) 794-3654 19 Richard Stark 340 Palmetto Point, Vero Beach, FL, 32963 (I) 231 -0831 20 Robert Temple PO Box 5064, Vero Beach, FL, 32961 (H) 567-6671 21 Sheila Tucker 127 Prestwick Circle, Vero Beach, FL, 32967 (W) 770- 1884 22 Mark Wygonik 4137 Silver Palm Drive, Vero Beach, FL 32963 (W) 234-6776 CULTURAL COUNCIL OF INDIAN RIVER COUNTY, INC. Financial Statements with Independent Auditors ' Report September 30, 2002 (With Comparative Totals for 2001 ) � b Table of Contents Page IndependentAuditors ' Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 2 Financial Statements : Statement of Financial Position . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Statementof Activities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Statementof Cash Flows . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : . . . . . . . . . . . . . . . 5 Notes to Financial Statements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 . . . . . . 6 - 8 Additional Information : Schedule of Functional Expenses . . a 0 . . 4 a . . . . . logo . . . . . . . . . . . . . . . . . . . . . . . 10 � l F. MAS ■■.NE®®PI® ® ,Haire, Kmetz, Nuttall, F' e 'd MICO AEL L. OKMETZE PA, PFS 'HAIR , CPA ■�®®® SCOTT A. NUTTALL, CPA, CFP NEENN®®® �®®I ®® & Co . chartered DANIEL E. FIELD, CPA )NIM , BRIAN J. ELWELL, CPA, CVA IS '1� ► V I Mal PATRICK K. GRAHAM , CPA VW / ,t If JiI Mr Tax, Business and Financial Consultants HARVEY L. HERRST, CPA MEMO, 100013 TERESA M . LG,SOTA, CPA Independent Auditors ' Report To the Board of Directors Cultural Council of Indian River County, Inc . We have audited the accompanying statement of financial position of the Cultural Council of Indian River County, Inc . as of September 30 , 2002 , and the related statements of activities and cash flows for the year then ended. These financial statements are the responsibility of the Cultural Council of Indian River County, Inc . ' s management. Our responsibility is to express an opinion on these financial statements based on our audit. We conducted our audit in accordance with auditing standards generally accepted in the United States of America. Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatement. An audit includes examining, on a test basis, evidence supporting the amounts and disclosures in the financial statements . An audit also includes assessing the accounting principles used and significant estimates made by management, as well as evaluating the overall financial statement presentation. We believe that our audit provides a reasonable basis for our opinion . In our opinion, the financial statements referred to above present fairly, in all material respects, the financial position of the Cultural Council of Indian River County, Inc . as of September 30 , 2002, and the changes in its net assets and its cash flows for the year then ended in conformity with accounting principles generally accepted in the United States of America. Our audit was performed for the purpose of forming an opinion on the basic financial statements of the Cultural Council of Indian River County, Inc . taken as a whole . The accompanying schedule of functional expenses is presented for purposes of additional analysis and is not a required part of the basic financial statements . Such information has been subjected to the auditing procedures applied in the audit of the basic financial statements and, in our opinion, is fairly stated in all material respects in relation to the basic financial statements taken as a whole . O ' Haire, Kmetz, Nuttall, Field & Co . , chartered Certified Public Accountants November 5 , 2002 3111 CARDINAL DRIVE • VERO BEACH , FLORIDA 32963 • TELEPHONE (772) 231 -6902 • FACSIMILE (772) 231 -4099 email@oknf-cpas. com Cultural Council of Indian River County, Inc. Statement of Financial Position September 30, 2002 (With comparative totals for 200 1 ) 2002 2001 Total (memo only) Assets Current Assets : Cash $ 199141 $ 10, 126 Grant revenue receivable 9,652 163411 Other receivables 1 ,307 - Prepaid expenses 25984 20,090 Total current assets 339084 462627 Property and equipment, net 51996 8 ,465 Total assets $ 39,080 $ 55 ,092 Liabilities and Net Assets Current Liabilities : Accounts payable $ 13062 $ - Payroll taxes payable 19642 1 ,566 Deferred revenue - 20,090 Total current liabilities 21704 213656 Net Assets : Unrestricted 249609 29,342 Temporarily restricted 11 ,767 4,094 Total net assets 36,376 33 ,436 Total liabilities and net assets $ 39 ,080 $ 55 ,092 See accompanying notes to financial statements. -3 - 33 Cultural Council of Indian River County, Inc. Statement of Activities Year ended September 30 , 2002 (With comparative totals for 2001 ) 2002 2001 Temporarily Total Unrestricted Restricted Total (memo only) Revenues and other support Grants from governmental agencies $ 236, 940 $ - $ 2369940 $ 188 , 869 Contributions 57, 895 - 57, 895 17, 550 Special events 16, 110 - 16 , 110 47,410 License plate revenue - 8,920 8,920 8,302 Membership fees 52975 - 5 ,975 10,325 Interest income 79 157 236 991 Other income 11329 - 1 ,329 1 ,028 Net assets released from restrictions through satisfaction of purpose restrictions 1 ,404 ( 1 ,404) - - Total revenues and other support 319, 732 7, 673 327 ,405 274,475 Expenses Program services . Children's programs 1152576 - 1152576 104, 186 Tourist development 81 , 628 - 81 ,628 58,434 Cultural development 82, 050 - 827050 86 , 857 Total program services 279 ,254 - 279 ,254 2499477 Supporting services . Management and general 31 ,340 - 31 ,340 232775 Special events 13 , 871 - 13 , 871 21 ,672 Total supporting services 459211 - 45 ,211 45 ,447 Total expenses 324,465 - 3241465 2949924 Increase (decrease) in net assets (43733 ) 79673 2,940 (202449) Net assets, beginning of year (as restated) 29,342 4,094 339436 53 , 885 Net assets, end of year $ 24, 609 $ 11 ,767 $ 36, 376 $ 33 ,436 See accompanying notes to financial statements. -4- Cultural Council of Indian River County, Inc. Statement of Cash Flows Year ended September 30, 2002 (With comparative totals for 200 1 ) 2002 2001 Total (memo only) Cash flows from operating activities : Increase (decrease) in net assets $ 2 ,940 $ (20,449) Adjustments to reconcile decrease in unrestricted net assets to net cash flows provided by (used for) operating activities : Depreciation 2,469 1 , 540 (Increase) decrease in : Grants receivable 6, 759 (81772) Other receivables ( 1 ,307) - Prepaid expenses 17, 106 (20,090) Increase (decrease) in : Accounts payable 1 ,062 - Payroll taxes payable 76 ( 162) Deferred revenue (20,090) 20,090 Net cash provided by (used for) operating activities 9,015 (27, 843 ) Cash flows from investing activities : Purchase of equipment - (75111 ) Net increase (decrease) in cash 9 ,015 (34,954) Cash, beginning of year 10, 126 45 ,080 Cash, end of year $ 192141 $ 102126 See accompanying notes to financial statements. -5 - � � Cultural Council of Indian River County, Inc. Notes to Financial Statements Note 1 — Summary of Significant Accounting Policies Organization The Cultural Council of Indian River County, Inc . , (the Council) is a Florida nonprofit organization created on February 6, 1995. The Council's mission is to nurture _a cooperative environment in which cultural and educational organizations and individuals may thrive and, thereby, enrich the quality of life in Indian River County, Florida. Method of Accounting The accompanying financial statements have been prepared on the accrual basis of accounting. Net Assets Grant income and contributions received are recorded as unrestricted, temporarily restricted, or permanently restricted support, depending on the existence and/or nature of any grantor and donor restrictions. Support that is restricted by the grantor and donor is reported as an increase in unrestricted net assets if the restriction expires in the reporting period in which the support is recognized. All other donor-restricted support is reported as an increase in temporarily or permanently restricted net assets, depending on the nature of the restriction. When a restriction expires, that is, when a stipulated time restriction ends or purpose restriction is accomplished, temporarily restricted net assets are reclassified to unrestricted net assets and reported in the statement of activities as net assets released from restrictions. The Council has no permanently restricted net assets . Property and Equipment Property and equipment acquisitions greater than $ 500 are capitalized and stated at cost. Donated property and equipment is recorded at the fair market value at the date of the gift. Depreciation is provided on a straight-line basis over the estimated useful life of the assets, which is five years . Income Tax Status The Council is exempt from federal income tax under Section 501 (c)(3 ) of the Internal Revenue Code. In addition the Council has been determined not to be a private foundation within the meaning of Section 509(a) of the Code . Functional Allocation of Expenses The cost of providing the various programs and other activities has been summarized on a functional basis in the statement of functional expenses . Accordingly, certain costs have been allocated among the programs and supporting services benefited. Donated Services In accordance with SFAS 116 , the Council does not record donated services for any volunteers working in a nonprofessional capacity. -6- Cultural Council of Indian River County, Inc. Notes to Financial Statements (continued) Note 1 — Summary of Significant Accounting Policies (continued) Use of Estimates The preparation of financial statements in conformity with generally accepted accounting _principles requires management to make estimates and assumptions that affect certain reported _ amounts and disclosures . Accordingly, actual results could differ from those estimates . Note 2 — Property and Equipment, net The following is a summary of property and equipment: Balance Balance September 30, Additions Deletions September 30, 2001 2002 Computer equipment $ 11 , 143 $ - $ - $ 11 , 143 Furniture and equipment 1 ,300 - - 12300 12,443 - - 122443 Accumulated depreciation (3 ,978) (2,469) - (61447) $ 8 ,465 $ (21469) $ - $ 55996 Note 3 — Temporarily Restricted Net Assets Temporarily restricted net assets are summarized as follows : License plate revenue $ 11 ,767 Note 4 — Major Grantors During the year ended September 30 , 2002 , the Council received grants from state and local governmental sources totaling $216, 850 . These grants represent 73 % of the total revenues and other support. Note 5 — Contributions During the year ended September 30, 2002 , the Council received in-kind contributions for radio and newspaper advertising totaling $50, 100 . These funds were recognized as advertising expenses . Note 6 — Lease Agreement The Council leases its facilities under a two year lease agreement commencing on May 1 , 2001 . Future rental payments due under the lease amount to $4 , 970 for the year ended September 30 , 2003 . Cultural Council of Indian River County, Inc. Notes to Financial Statements (continued) Note 7 — Prior Period Adjustment/Retained Earnings Restatement During the year ended September 30 , 2002, a change was made to the unrestricted net assets of the Council to correct for deferred revenue of $ 20 ,090 that existed as of September 30, 2001 . The Council ----had prepaid expenses of_$20,090 during fiscal year ended September_ 30, _2001 that. related to fiscal year ended September 30 , 2002 . Since the expenses were actually incurred during September 30, 2002, they were reported as expenses in that year. The Council also received its grant revenue related to these expenses during the year ended September 30 , 2001 . However, the revenue should have been deferred as of September 30 , 2001 and reported as revenue during fiscal year ending September 30 , 2002 . -8 - ADDITIONAL INFORMATION Cultural Council of Indian River County, Inc. Statement of Functional Expenses Year ended September 30, 2002 (With comparative totals for 2001 ) 2002 2001 Total Program Services Supporting Services Total (memo only) Management Children's Tourist Cultural and Special Programs Development Development Total General Events Salaries and wages $ 7 ,315 $ 34,095 $ 39,625 $ 81 , 035 $ 6, 096 $ 1 , 829 $ 88 ,960 $ 961723 Payroll taxes 493 2 , 569 2, 672 5 ,734 411 123 62268 6 ,927 Contracted labor 73 , 534 - 500 74 , 034 1 , 660 31321 799015 73 , 010 Total personnel 81 , 342 36, 664 429797 160, 803 8, 167 5 ,273 174,243 1765660 Accounting - - - - 3 , 068 - 35068 4 , 640 Advertising 12,980 15 ,980 13 , 860 42 , 820 12,980 187 55 ,987 - Art Supplies 7, 560 - 14 7 , 574 - - 7, 574 12 ,923 Dues and subscriptions 313 858 313 1 ,484 313 - 1 , 797 911 Equipment rental/maintenance 544 544 544 1 , 632 544 - 2, 176 4, 018 Food 157 - - 157 - 3 ,907 42064 10 , 854 Insurance - health 418 1 ,613 25262 4 ,293 348 104 45745 4 ,445 Insurance - general 5 ,965 210 210 6,385 210 - 6, 595 6,319 Licenses and taxes 78 78 78 234 987 - 1 ,221 - Miscellaneous 89 89 89 267 490 - 757 45388 Newsletter - 1 ,064 95578 10, 642 - - 10, 642 8 , 688 Office supplies 186 598 196 980 431 - 1 ,411 2 , 569 Postage/mailing 363 12, 690 106 13 , 159 106 391 135656 5 , 666 Printing - 4, 171 8 , 158 12 ,329 - 15751 149080 10 , 117 Regranting - - - - - - - 149380 Rent 39595 2 ,255 29255 89105 2,255 750 11 , 110 8 ,486 Staff development 33 942 177 1 , 152 27 8 1 , 187 4 , 657 Telephone 875 1 ,211 796 29882 796 - 39678 39359 Transportation 461 44 - 505 - - 505 1 , 512 Web expenses - 2 ,000 - 29000 - 19500 35500 8 , 792 Depreciation 617 617 617 1 , 851 618 - 2 ,469 13540 Total expenses $ 115 , 576 $ 819628 $ 82,050 $ 2799254 $ 319340 $ 139871 $ 324,465 $ 294 , 924 See accompanying notes to financial statements. - 10- CULTURAL COUNCIL OF INDIAN RIVER COUNTY, INC . November 5 , 2002 O`Haire, Kmetz, Nuttall, Field & Co . , chartered 3111 Cardinal Drive Vero Beach, FL 32963 We are providing this letter in connection with your audit of the financial position of the Cultural Council of Indian River County, Inc. as of September 30, 2002 , and the related statements of activities and cash flows for the period then ended for the purpose of expressing an opinion as to whether the financial statements present fairly, in all material respects, the financial position, changes in net assets, and cash flows of the Cultural Council of Indian River County, Inc. in conformity with generally accepted accounting principles . We confirm that we are responsible for the fair presentation in the financial statements of financial position, changes in net assets, and cash flows in conformity with generally accepted accounting principles . . We are also responsible for adopting sound accounting policies, establishing and maintaining internal control, and preventing and detecting fraud. We confirm, to the best of our knowledge and belief, the following representations made to you during your audit. 1 . The financial statements referred to above are fairly presented in conformity with U. S . generally accepted accounting principles and include all assets and liabilities under the organization ' s control. 2. We have made available to you all : a. Financial records and related data, and all audit or relevant monitoring reports, if any, received from funding sources. b . Minutes of meetings of the Board of Directors, or summaries of actions of recent meetings for which minutes have not yet been prepared. 3 . There have been no communications from regulatory agencies concerning noncompliance with, or deficiencies in, financial reporting practices. 4 . There are no material transactions that have not been properly recorded in the accounting records underlying the financial statements . 5 . We believe the effects of the uncorrected financial statement misstatements summarized in the attached schedule, if any, are immaterial, both individually and in the aggregate, to the financial statements taken as a whole. In addition, you have recommended adjusting journal entries that have been posted to the organization ' s accounts . We are in agreement with those adjustments. l � OUaire, Kmetz, Nuttall, Field & Co . , chartered November 5 , 2002 Page three 12 . There are no : - - - --- - - a. Violations or possible violations of laws and regulations and provisions or-contracts - and grant agreements whose effects should be considered for disclosure in the financial statements or as a basis for recording a loss contingency. b . We are not aware of any pending or threatened litigation, claims, or assessments or unasserted claims or assessments that are required to be accrued or disclosed in the financial statements in accordance with Statement of Financial Accounting Standards No . 5 , and we have not consulted a lawyer concerning litigation, claims, or assessments. C, Other material liabilities or gain or loss contingencies that are required to be accrued or disclosed by Statement of Financial Accounting Standards No . 5 . d. Designations of net assets disclosed to you that were not properly authorized and approved, or reclassifications of net assets that have not been properly reflected in the financial statements. 13 . The Cultural Council of Indian River County, Inc. has satisfactory title to all owned assets, and there are no liens or encumbrances on such assets nor has any asset been pledged. 14. We have complied with all restrictions on resources, if any, and aspects of contractual and grant agreements that would have a material effect on the financial statements in the event of noncompliance. This includes complying with donor requirements to maintain a specific asset composition necessary to satisfy their restrictions . No events have occurred subsequent to the statement of financial position date and through the date of this letter that would require adjustment to, or disclosure in, the financial statements . Signature: ,) Title : q0J 11044 .r uunzuuz n:09 AM Form 990 OMB No. 1545-0047 Return of Organization Exempt From Income Tax 20 Under section 501 (c) , 527 , or 4947(a)(1 ) of the Internal Revenue Code (except black lung Department of the Treasury benefit trust or private foundation) Internal Revenue Service The organization may have to use a co of this return to satisfy state reporting requirements. A For the 2001 calendar year, or tax year beginning .10 / 01 / 01 . andending 9 / 30 / 02 B Check if applicable: Please C Name of organization D Employer ID number Address change use IR CULTURAL COUNCIL OF INDIAN RIVER 5 9 — 3 2 9 913 3 label o Name change print oi COUNTY INC . E Telephone number Initial return type. Number and street (or P.O. box if mail is not delivered to street address) Room/suite 772 - 770 - 4857 Final return See 2145 14TH AVENUESpecilk --- 11 F Accounting method : Li Cash nstruc ,City or townstate or country, and ZIP + 4 Amended return ® Accrual Other (specify) pendingron tions. VERO BEACH FL 32960 ► * Section 501 (c)(3) organizations and 4947(a)(1 ) nonexempt charity DIM and I are not applicable to section 527 organizations. trusts must attach a completed Schedule A (Form 990 or 990-EZ) H (a) Is this a group return for affiliates? Yes No G Web site: ► H(b) If "Yes," enter no. of affiliates ► N/A J Organization type H (C) - Are all affiliates included? ® N/A 0 Yes No check onl one ► 501 (c) ( 3 4c finsert no. 4947(a )(1 ) or n 527 ( If "No," aft. a list. See instr. ) K Check here ► Ij if the organization's gross receipts are normally not more than H (d) Is this a separate return filed by an N/A $25,000 . The organization need not file a return with the IRS ; but if the organization organization covered by a group ruling? Yes No received a Form 990 Package in the mail , it should file a return without financial data. I Enter 4-digit GEN ► Some states re uire a complete return. M Check ► if the organization is not required L Gross receipts : Add lines 6b , 8b , 9b and 10b to line 12 ► 30T 315 to attach Sch . B Form 990 , 990-EZ, or 990-PF). BMW Revenue Ex enses and Chan es in Net Assets or Fund Balances See Specific Instructions on page 16 . 1 Contributions, gifts, grants, and similar amounts received: a Direct public support . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . la 57 , 8 9 5 > >< < b Indirect public support . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1b :::::•::: c Government contributions (grants) 1 c 2 2 5 7 d Total (add lines 1 a through 1 c) (cash $ 233 , 565 noncash $ _ 5 0 r 10 0 ) Id 2 8 3 6 6 5 2 Program service revenue including government fees and contracts (from Part VII , line 93) 2 Membership dues and assessments . . . . . . . . . . . . . . . . . 3 5 9 7 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : . 4 Interest on savings and temporary cash investments 4 236 5 Dividends and interest from securities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . a Gross rents b Less : rental expenses : c Net rental income or (loss) (subtract line 6b from line 6a R 7 Other investment income (describe ► 7 e . . . . . . . . . . . . v 8a Gross amount from sales of assets other A Securities B Other n than inventory u b Less : cost or other basis and sales expenses gb c Gain or (loss) (attach schedule) = > d Net gain or (loss) (combine line 8c, columns A and B 9 Special events and activities (attach schedule) a Gross revenue (not including $ of iq2 contributions reported on line 1a) 9a 16 110 > < sz b Less: direct expenses other than fundraising expenses 9b 1 13 871 : m c Net income or (loss) from special events (subtract line 9b from line 9a . . . . . . . . . .1oa . . . . . . . . . . . . . . . . . . . . . . . 9c 21239 10a Gross sales of inventory, less returns and allowances b Less : cost of goods sold 10b c Gross profit or (loss) from sales of inventory (att. sch . ) (subtract line 10b from line 10a) 10c ther revenue (from Part VII , line 103) 11 1 329 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . 11 293 444 12 Total revenue add lines 1d , 21 31 41 5 , 6c, 7 , 8d , 9c, 10c, and 11 . , , , . E 13 Program services (from line 44 , column (B)) x 13 279254 e14 Management and general (from line 44 , column (C)) 14 31 3 4 0 n 15 Fundraising (from line 44 , column D e d d ( )) . . . . . . . . . . . . . 15 . . . . . . . . . . . . . IS 16 Payments to affiliates (attach schedule) e . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 17 310 594 s 17 Total expenses add lines 16 and 44, column A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A 18 Excess or (deficit) for the year (subtract line 17 from line 12) . . . . . . 18 — 17 150 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Ns 19 Net assets or fund balances at beginning of year (from line 73 , column (A)) 19 5 3 5 2 6 t t 20 Other changes in net assets or fund balances (attach explanation) 40 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . s 21 Net assets or fund balances at end of year combine lines 18 , 19 , and 20 21 3 6 3 7 6 For Paperwork Reduction Act Notice, see the separate instructions . Form 990 (2001 ) DAA q3 715411/07/2002 8:59 AM Form 990 (2001 ) CULTURAL COUNCIL OF INDIAN RIVER 5 9 - 3 2 9 913 3 Page 2 € P # I Statement of All organizations must complete column (A). Columns (B), (C), and (D) are required for section 501 (c)(3) and (4) organdations Functional Expenses and section 4947 a 1 nonexempt charitable trusts but optional for others. See Specific Instructions on page 21 . Do not include amounts reported on line (s) Program (C) Management 6b 8b 9b 10b or 16 of Part I . (A) Total (D) Fundraising services and general 22 Grants and allocations attachh sc edule (cash ca . . . . . . . . . . . . . . . . . . . . . . ..... .•. . . : . . . . . . . .:. . :. . . . . . . . . ... .. :.. :•.;:�:•� :::.,.. . :;:. .::. • ..,•.;:::. :.,:. .. $ sh 22 23 Specific c assistance individuals Ia to in du I s 23 24 B enefi isP aid to or for members rs 24 25 Compensation of officers, directors , etc. 25 . . . . . . . . . . . . . . . 26 Other salaries and wages 26 8 7 131 81 0 3 5 6 0 9 6 27 Pension plan contributions 27 . . . . . . . . . . . . . . . . . . . . . . . . . . . 28 Other employee benefits 28 4 6 41 4 , 293 348 29 Payroll taxes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30 Professional fundraising fees30 . . . . . . . . . . . . . . . . . . . . . . . . . 31 Accounting fees31 3 068 3 068 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32 legal fees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32 33 Supplies 33 8 7 4 0 8 5 5 4 18 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34 Telephone . . . . . . . . . . . . . . 34 3 6 7 8 2 882 796 . . . . 35 Postage and shipping 35 13 -2 6 5 13 r 15 9 106 36 Occupancy . . . . . . . . . . . . 36 1 0 3 6 0 81105 2 255 37 Equipment rental and maintenance . . . . . . . . . . . . . . . . . 37 2 , 176 1 6 3 2 544 . . . 38 Printing and publications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39 Travel 39 40 Conferences, conventions , and meetings . . . 40 1 17 9 1 i52 27 41 Interest 41 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42 Depreciation , depletion, etc. (att sch.) 42 2 4 6 9 1 8 51 618 43 Other expenses not covered above (itemize): a43a b . SEESTATEMENT .. . . . . . 43b 144 r 771 127r886 16 r 885 C d e 44 Total functional expenses (add lines 22 - 43) Organizations completing columns B D , carry these totals to lines 13-15 44 310 , 594 2 7 9 2 5 4 31 , 340 0 Joint Costs. Check ► U if you are following SOP 98-2. Are any joint costs from a combined educational campaign and fundraising solicitation reported in (B) Program services? ► Yes ® No If "Yes," enter (1) the aggregate amount of these joint costs $ ; (ii) the amount allocated to Program services $ (iii) the amount allocated to Management and general $ and (iv) the amount allocated to Fundraising $ Statement of Program Service Accom lishments See Specific Instructions on page 24 . What is the organization's primary exempt purpose? Program Service ► TO PROMOTE THE ARTS IN INDIAN RIVER COUNTY , FLORIDA Expenses . . . . . . . . (Requiredfor501 (c)(3) and All organizations must describe their exempt purpose achievements in aW clear and concise •manner. State the number (4) orgs. , and 4947(a)(1 ) Of clients served, publications issued , etc. Discuss achievements that are not measurable. (Section 501 (c)(3) and (4) trusts; but optional for organizations and 4947(a)( 1 ) nonexempt charitable trusts must also enter the amount of grants and allocations to others . others. a SEE STATEMENT 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Grants and allocations $ 115 57 6 b PROMOTE TOURISM TO THE COMMUNITY THROUGH PROMOTION OF THE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . LOCAL ARTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . MAINTAIN WORLD WIDE WEB SITE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . Grants and allocations $ 81 6 2 8 c PROMOTE THE ARTS WITHIN. . INDIAN RIVER COUNTY , FLORIDA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . DEVELOP CULTURAL AWARENESS CULTURAL. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . 4 . . . . . . . . . . . . . . . . . . . . . . . . MARKET THE VARIOUS LOCAL ART ORGANIZATIONS . . . . . . . . . . . . . . . d . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Grants and allocations $ 821050. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Grants and allocations $ e Other program services attach schedule Grants and allocations $ f Total of Program Service Expenses (should equal line 44 column (B ) Program services) . . . . . . . . 2 7 9 r 2 5 4 DAA ) j ' Form 990 (2001 ) 7154 11 /07/2002 8:59 AM Form 990 (2001 ) CULTURAL COUNCIL OF INDIAN RIVER 5 9 - 3 2 9 913 3 Page 3 af (1t Balance Sheets (See Specific Instructions on page 24 . ) Note : Where required , attached schedules and amounts within the description (A) (B) column should be for end-of-year amounts only. Beginning of year End of year 45 Cash-non-interest-bearing 2jr465 45 10 2 2 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46 Savings and temporary cash investments 7jr661 46 8r914 47a Accounts receivable 47a b Less: allowance for doubtful accounts 47b 47c 48a Pledges receivable48a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b Less: allowance for doubtful accounts . . . . go. . . . . . . . . 49 Grants receivable 16 411 49 9 6 5 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50 Receivables from officers, directors , trustees , and key employees A (attach schedule) 50 S 51a Other notes and loans receivable (attach S schedule) . . . . 51a �- •• ••��-- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . e b Less: allowance for doubtful accounts 51 b 51 c . . . . . . . . . . . . . t 52 Inventories for sale or use 52 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . S 53 Prepaid expenses and deferred charges . . . . . . , . . . 20 , 090 53 2 , 984 . . . . . . . . . . . . 54 Investments-securities 110. Cost FMV 54 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55a Investments4and, buildings , and equipment: basis55a . b Less: accumulated depreciation (attach schedule) 55b 55c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56 Investments-other (attach schedule) . . . 56 . . . . . . . . . . . . . . . . . . . . . . . . . . . a an buildings, and equipment: basis 57a 12 443 . . . . . . . . . . . . b Less: accumulated depreciation (attach . . . . . . . . . . schedule) . . SEE STMT 3. 57b 6 447 8 465 57c 5r996 58 Other assets (describe 100oSEESTMT 4 ) 58 1 3 07 59 Total assets add lines 45 through 58 must equal line 74) . . . , • . . . . . . . . . . . . . . . . . 5 5 0 92 59 3 9 0 8 0 L 60 Accounts payable and accrued expenses 60 1 062 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . i 61 Grants payable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61 a 62 Deferred revenue 62 b 63 Loans from officers, directors, trustees , and key employees (attach ::i^.`• i:> I i ? ::: : . Ischedule) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . i 64a Tax-exempt bond liabilities (attach schedule) 64a t .hed. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b Mortgages and other notes payable (attach scule) 64b i . . . . . . . . . . . . . . . . . . . . . . . . . . . . e 65 Other liabilities (describe ► SEE STMT 5 ) T, 566 65 1 , 642 S 66 Total liabilities add lines 60 through 65 If 566 66 2 7 0 4 Organizations that follow SFAS 117, check here ► and complete lines 67 through 69 and lines 73 and 74 . 0 NF 67 Unrestricted . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49 , 432 67 24 , 609 e u 68 Temporarily restricted to 4 094 68 11 , 767 d 69 Permanently restricted 69 A Organizations that do not follow SFAS 117, check here 0 ► a and s B complete lines 70 through 74 . s a 70 Capital stock, trust principal , or current funds 70 e I 71 Paid-in or capital surplus , or land , building , and equipment fund 71 s n 72 Retained earnings , endowment, accumulated income , or other funds 72 . . . . . . . . . . . . . . c 73 Total. net assets or fund balances (add lines 67 through 69 OR lines o e 70 through 72; r s column (A) must equal line 19; column (B ) must equal line 21 ) 5 3 5 2 6 73 36 , 376 74 Total liabilities and net assets / fund balances add lines 66 and 73 55 , 0921 74 1 3 9 0 8 0 Form 990 is available for public inspection and , for some people , serves as the primary or sole source of information about a particular organization . How the public perceives an organization in such cases may be determined by the information presented on its return. Therefore, please make sure the return is complete and accurate and fully describes , in Part 111 , the organization's programs and accomplishments . DAA 715411/07/2002 8:59 AM Form 990 2001 CULTURAL COUNCIL OF INDIAN RIVER 59 - 3299133 Pa e 4 €> Pl~ Expenses P Reconciliation of Revenue per Audited ` ` ?; t? ' ` Reconciliation of Ex per Audited Financial Statements with Revenue per Financial Statements with Expenses per N /A Return See Specific Instructions , pacie 26 . N A Return a Total tal revenue gains ,s r e and other support P � a Total otal ex enses and losses r e per audited financial statements ► a audited financial statements ► a NMI : : A t b -- Amounts includedGuded on line t not on b Amounts included on line a b t no t lin r e12 Form 990: on line 17 Form 990: 1 N unrealized et unrea zed a'ins on 9 1 Donated D ated s i ( eeeefee services and use investments tments f o facilities O Do 2 ry Hated services and use 2 Pdor Y 1 o year adjustments of facilities orte d on line 2 0 , 3 Recoveries e veries of prior ( Form 990 year grants rants $ 3 Losses r n P o e reported lin 20, 4 O thers eG P fY) Form 990 4 Omer s eci $ . . . . . . . . . . . » . . . :. . . Add amounts on lines (1 ) through (4) ► b $ ': > <> •`: > > ? ` > ` >?e. Add amounts on lines (1 ) through (4) ► b C Line a minus line b ► c c Line a minus line b ► c d Amounts included on line 12 . d Amounts included on line 17 FormI'but 90 not n 9 0 o line a: F orm9 9 0 but not on line a: . . .:.... . . . :. 1 Investment expenses s 1 In nt vestm e expenses not included on line 6b, not i nclu ed i d on line 6b Form 990 Form 990 $ 2 Other (specify):fy): 2 Otheri s . :: . . . . .. . . .. . . . . . . . . . .. . . . . . . . . . ... :.::::::::: ..;.. ( Pec fY): . . . . . . . . . . . $ <: a> : Add amounts on lines (1 ) and (2) ► d Add amounts on lines (1 ) and (2) ► d e Total revenue per line 12, Form 9960e Total expenses per line 17, Form 990 line c plus lined . . . . . . . . . . . . . . . . • ► e line c plus lined ► e < ` <> List of Officers , Directors , Trustees, and Key Employees (List each one even if not compensated; see Specific .Instructions on page 26. (B) Title and average (C) Compensation (D) Contrib, to (E) Expense (A) Name and address hours per week (If not paid, ente plants defegedt account and other devoted to position allowances ADAMS . . . RAY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . DIRECTOR VERO BEACH FL 2 0 0 0 BROWN , RICHARD DIRECTOR VERO BEACH FL BRYANT , NANCY SECRETARY VERO BEACH FL e a e 0 4 2 0 0 0 FERRELL ,. . .BARBARA DIRECTOR VERO BEACH FL F ISCHER r. . . ELLEN DIRECTOR VERO BEACH FL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 0 0 0 FLYNN., PHILLIP . . . . . DIRECTOR VERO BEACH FL 2 0 0 0 FORD., . . PETER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . TREASURER VERO BEACH FL 2 0 0 0 FOURMONTr DANIEL DIRECTOR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . VERO BEACH FL 2 0 0 0 HOOVER r. . . JANIE DIRECTOR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . VERO BEACH , * EACH FL. 2 0 0 0 SEE STATEMENT 6 75 Did any officer, director, trustee, or key employee receive aggregate compensation of more than $ 100 ,000 from your organization and all related organizations , of which more than $ 10,000 was provided by the related organizations? ► Yes ® No If "Yes ," attach schedule-see Specific Instructions on page 27. Form 990 (2001 ) DAA 715411/0712002 8:59 AM Form 990 2001 CULTURAL COUNCIL OF INDIAN RIVER 59 - 3299133 Pa e 5 j ' Par1C Other Information See Specific Instructions on a e 27 . Yes No 76 Did the organization engage in any activity not previously reported to the IRS? If "Yes ," attach a detailed description of each activity76 X . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77 Were any changes made in the organizing or governing documents but not reported to the IRS? 77 X If . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . "Yes," attach a conformed copy of the changes. 78a Did the organization have unrelated business gross inc. of $ 1 ,000 or more during the year covered by this return? 78a Xb If ' . . . . . . . . . . . . . . . . Yes," has it filed a tax return on Form 9904 for this year? 78b X 79 Was there a liquidation , dissolution, termination , or substantial contraction during the year? If "Yes , " attach a statement 79 X . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 80a Is the organization related (other than by association with a statewide or nationwide organization ) through common membership, governing bodies , trustees , officers, etc. , to any other exempt or nonexempt organization? 80a ' Xb If ..... . . . . . . . . . . . . . . . . . . . . . . . . . . es ," enter the name of the organization ► : :.. : : ::: .. :.:.,.. :: .,. ,..,.::,::: an . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . d check whether it is exempt OR Q nonexempt. 81a Enter direct or indirect political expenditures . See line 81 instr. b Did the organization file Form 1120-POL for this year? 81b X . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82a Did the organization receive donated services or the use of materials, equipment, or facilities at no charge or at substantially less than fair rental value? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82a X b If "Yes," you may indicate the value of these items here. Do not include this amount as revenue in Part I or as an expense in Part I1 . (See instructions in Part 111 . 83a Did the organization comply with the public inspection requirements for returns and exemption applications? . . . . . . . . . . . 83a X . . . . . . . . . . Did the organization comply with the disclosure requirements relating to quid pro quo contributions? / N A 83b . . . . . . . . . . . . . . . . . . . . . . . . . 84a Did the organization solicit any contributions or gifts that were not tax deductible? 84a X . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b If "Yes," did the organization include with every solicitation an express statement that such contributions = < •`• " > > or gifts were not tax deductible? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . /A IMb 85 . 501 (c)(4), (5), or (6) organizations. a Were substantially all dues nondeductible by members? N/A 85a . . . . . . . . . . . . . . . b Did the organization make only in-house lobbying expenditures of $2, 000 or less? N/A 85b . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If "Yes" was answered to either 85a or 85b, do not complete 85c through 85h below unless the organization received a waiver for proxy tax owed for the prior year. c Dues , assessments , and similar amounts from members . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85c .:.::: : -::. .:::::•.�:. h . . . . . . . . d Section 162(e) lobbying and political expenditures 85d e Aggregate nondeductible amount of section 6033(e)( 1 )(A) dues notices 85e f Taxable amount of lobbying and political expenditures (line 85d less 85e) 85f rzs: z:^:: <:':x: :>::;• r ::>•>:::::: : . . . . . . . . . . . . . . . . . . g Does the organization elect to pay the section 6033(e) tax on the amount in 85f? N85 . . . . . . . /A h If section 6033(e)( 1 )(A) dues notices were sent, does the organization agree to ad. d. .th. .e. amou. . . . . n.t in. . 85. . f to. . its. .rea. . .sonab. . . . le. . . . . . . . . . estimate of dues allocable to nondeductible lobbying and political expenditures for the following tax year? N/A 85h 86 501 (c)(7) orgs . Enter. a Initiation fees and capital contributions included on line 12 b Gross receipts , included on line 12, for public use of club facilities 86b �>::>:::::<:s: : :••'<`s>::?::: ::#::> :>:'.�::: 87 501 (c)( 12) orgs. Enter. a Gross income from members or shareholders 87a . . . . . . . . . . . . . . . . . . . . . . . . . . b Gross income from other sources. (Do not net amounts due or paid to other sources against amounts due or received from them .) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87b 88 At any time during the year, did the organization own a 50% or greater interest in a taxable corporation or partnership, or an entity disregarded as separate from the organization under Regulations sections 301 .7701 -2 and 301 .7701 -3? If "Yes," complete Part IX 88 X . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 89a 501 (c)(3) organizations . Enter: Amount of tax imposed on the organization during the year under: section 4911 ► 0 ; section 4912 ► 0 ; section 4955 ► 0 b 501 (c)(3) and 501 (c)(4) orgs . Did the organization engage in any section 4958 excess benefit transaction during the year or did it become aware of an excess benefit transaction from a prior year? If "Yes ," attach a statement explaining each transaction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . c Enter: Amount of tax imposed on the organization managers or disqualified persons during the year under sections 4912, 4955 , and 4958 ► 0 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . d Enter: Amount of tax on line 89c, above, reimbursed by the organization ► 0 . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90a List the states with which a copy of this return is filed ► NONE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b Number of employees employed in the pay period that includes March 1.2,. 2001. (See instructions .) 190b 3 . . . . . . . . . . . . . . . . . . 91 The books are in care of ► MARY JAYNE KELLY Telephone no. ► 7 7 2 - 7. 7 0 - 4 8 5 7 Located at ► 2145 14TH AVENUE , STE 11 VERO BEACH o 4 * 4 0 FL . . . . . . zIP + 4 ► 3260 92 Section 4947(a)( 1 ) nonexempt charitable trusts filing Form 990 in lieu of Form 1041 - Check here ► and enter the amount of tax-exempt interest received or accrued during the tax year ► � g2 I Form 990 (2001 ) DAA �7 715411 /07/2002 8:59 AM Form 990 (2001 ) CULTURAL COUNCIL OF INDIAN RIVER 59 - 3299133 Page 6 Analysis of Income-Producin Activities See Specific Instructions on pacle 32 . Note : Enter gross amounts unless otherwise Unrelated business income Excluded b sec. 512, 513 , or 51 (E) indicated . (A) (B) (C) (D) Related or Business code Amount clusio Amount exempt function 93 Program service revenue: code income a b C d e f Medicare/Medicaid payments . . . . . . . . . . . . . . . . . . . . . . . . . . . . g Fees and contracts from government agencies . . . . . . . . . . . 94 Membership dues and assessments . . . . . . . . . . . . . . . . . . . . . . 51975 95 Interest on savings and temporary cash investments 236 96 Dividends and interest from securities . . . . . . . . . . . . . . . . . . . . 97 Net rental income come or (loss) from real estate: a debt-financed property . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b not debt-financed property . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 98 Net rental income or (loss) from personal property 99 Other investment income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100 Gain or (loss) from sales of assets other than inventory 101 Net income or (loss) from special events 2 5 2 2 3 9 . . . . . . . . . . . . . . . . . . 102 Gross profit or (loss) from sales of inventory . . . . . . . . . . . . . . 103 Other revenue: a b OTHER REVENUE 1 329 C d e 104 Subtotal (add columns (B ), (D), and (E)) . . . . . . . . . . . . . . . . . . < : : : :: : :: <: O ?< % < ? 21239 7 5 4 0 105 Total (add line 104 , columns (B ), (D), and (E)) ► 9 , 7 7 9 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Note : Line 105 plus line 1d , Part I , should equal the amount on line 12 PartI . : I `lil ::: Relationship of Activities to the Accomplishment of Exempt Purposes seeSpecific Instructions on page 32. Line No. Explain how each activity for which income is reported in column (E) of Part VII contributed importantly to the accomplishment • of the organization's exempt purposes other than by providingfunds for such purposes). 94 ALL ACTIVITIES ARE FOR THE 95 PROMOTION OF THE ARTS 103 IN THE COMMUNITY f Information RegardingTaxable Subsidiaries and Disre arded Entities see Specific Instructions on page 33. (A) (B) lc) (D) (E) Name, address , and EIN of corporation, Percentage of Nature of activities Total income End-of-year partnership, or disregarded entityownershi interest assets N /A % °/ € '<' NEU . . lnformation Regarding Transfers Associated with Personal Benefit Contracts seeSpecific Instructions on pq. 33. (a) Did the organization, during the year, receive any funds, directly or indirectly, to pay premiums on a personal benefit contract? Yes No ( ) 9 9 year, pay premiums , directly or indirect) on a personal benefit contract? Yes No b Did the organization , Burin the ear a y y, p , . . . . . . . . . . . . . . . . . . . . Note: If "Yes" to b file Form 8870 and Form 4720 see Instructions). Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true , correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge. Please I Sign ' Here Signature of officer Date ape P Type or print name and title. . Preparer's Bill VjgOn Check if Preparer's SSN or PTIN (See Gen. Instr. W) signature self- Paid to ed ► P 0 0 2 9 0 9 2 5 Preparer's Finn's name (or yours ' O ' HAIRE KMETZ NUTTALL FIELD & C09 EIN 10. 5 9 - 171813 9 m Use Only ifself-eployed), 3111 CARDINAL DR . Phone address, and ZIP + 4 VERO BEACHr FL 32963 no. ► 772 - 231 - 6902 DAA Form 990 (2001 ) 1 ? 715411/07/2002 8:59 AM SCHEDULE A Organization Exempt Under Section 501 (c) (3) OMB No. 1545-0047 (Form 990 or 990-EZ) (Except Private Foundation) and Section 501 (e) , 501 (f), 501 (k), 501 (n) , or Section 4947(a)(1 ) Nonexempt Charitable Trust 2001 Supplementary Information -(See separate instructions .) Department of the Treasury Intemal Revenue Service ► MUST be completed by the above organizations and attached to their Form 990 or 990-EZ Name of the organization Employer identification number CULTURAL COUNCIL OF INDIAN RIVER COUNTYr INC . 59 - 3299133 Compensation of the Five Highest Paid Employees Other Than Officers, Directors , and Trustees See page 1 of the instructions . List each one . If there are none enter " None . " (a) Name and address of each employee paid more (b) Title and average hours (d) Contributions to (e) Expense than $50,000 per week devoted to position (c) Compensation employee ben. plans & account and other deferred compensation allowances NONE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total number of other o m o e employees to ees P e aid over $50 ,000 > ar# ' Compensation of the Five Highest Paid Independent Contractors for Professional Services See page 2 of the instr. List each one whether individuals or firms . If there are none enter " None . " (a) Name and address of each independent contractor paid more than $ 50,000 (b) Type of service (c) Compensation NONE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . umber of other Total n s receiving 9 v et In over $50 ,000 for Tonal services es c For Paperwork Reduction Act Notice, see the Instructions for Form 990 and Form 990-EZ, Schedule A (Form 990 or 990-EZ) 2001 DAA 715411/07/2002 8:59 AM Schedule A Form 990 or 990-EZ 2001 CULTURAL COUNCIL OF INDIAN RIVER 5 9 - 3 2 9 913 3 Pae 2 . .. .. . . . . . .... . .. . . . . . . < f'' tttC Statements About Activities ( See page 2 of the instructions . ) Yes No 1 During the year, has the organization attempted to influence national , state, or local legislation , including any attempt to influence public opinion on a legislative matter or referendum? If "Yes ," enter the total expenses paid 1 X or incurred in connection with the lobbying activities ►$ (Must equal amount on line 38, Part VI-A, or line i of Part VI-B .) Organizations that made an election under section r9 501 (h) by filing Form 5768 must complete Part VI-A. Other organizations checking "Yes," must complete Part VI-B p AND attach a statement giving a detailed description of the lobbying activities . 2 During the year, has the organization , either direct) r ' Y 9 y o indirectly, engaged in any of the following acts with any substantial contributors , trustees directors officers creators ,eators , key employees , or members of their families , or with any taxable organization with which an such Y person is affiliated as an officer, director, trustee , majority owner, or principal beneficiary? If the answer to an ^ rY ( y question is Yes attach a detailed statement x , explaining the transactions . ) a Sale, exchange, or leasing of property? 2a X . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b Lending of money or other extension of credit? 2b X . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . c . Furnishing of goods , services, or facilities? 2c X . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . d Payment of compensation (or payment or reimbursement of exp. if more than $1 ,000)? 2d X . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . e Transfer of any part of its income or assets? 2e X 3 Does the organization make grants for scholarships , fellowships , student loans , etc.? (See Note below. ) . . . . . . . . . . . . . . . . . . . . . . . . . 3 X 4 Do you have a section 403(b) annuity plan for your employees? 4 X . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Note : Attach a statement to explain how the organization determines that individuals or organizations receiving grants or loans from it in furtherance of its charitable programs "qualify" t o receive payments. Reason for Non -Private Foundation Status (See pages 3 through 6 of the instructions .) The organization is not a private foundation because it is: (Please check only ONE applicable box.) 5 A church , convention of churches, or association of churches. Section 170(b)( 1 )(A)(i). 6 A school . Section 170(b)(1 )(A)(ii). (Also complete Part V. ) 7 A hospital or a cooperative hospital service organization . Section 170(b)( 1 )(A)(iii). 8 OWN A Federal , state , or local government or governmental unit. Section 170(b)(1 )(A)(v). 9 A medical research organization operated in conjunction with a hospital. Section 170(b)( 1 )(A)(iii). Enter the hospital's name, city, and state ► . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 An organization operated for the benefit of a college or university owned or operated by a govemmental unit. Section 170(b)(1 )(A)(iv). (Also complete the Support Schedule in Part IV-A.) Ila ® An organization that normally receives a substantial part of its support from a governmental unit or from the general public. Section 170(b)( 1 )(A)(vi ). (Also complete the Support Schedule in Part IV-A.) 11b 8A community trust. Section 170(b)(1 )(A)(vi). (Also complete the Support Schedule in Part IV-A.) 12 An organization that normally receives: (1 ) more than 33 1 /3% of its support from contributions , membership fees, and gross receipts from activities related to its charitable , etc. , functions-subject to certain exceptions , and (2) no more than 33 1 /3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Also complete the Support Schedule in Part IV-A. ) 13 An organization that is not controlled by any disqualified persons (other than foundation managers) and supports organizations described in: (1 ) lines 5 through 12 above; or (2) section 501 (c)(4), (5), or (6), if they meet the test of section 509(a)(2). (See section 509(a )(3).) Provide the followino information about the supported organizations . See page 5 of the instructions . (a) Name(s ) of supported organization (b) Line numbers) from above 14 I I An organization organized and operated to test for public safety. Section 509(a )(4) (See page 6 of the instructions . ) DAA Schedule A (Form 990 or 990-EZ) 2001 715411 /07/2002 8:59 AM Schedule A (Form 990 or 990-EZ) 2001 CULTURAL COUNCIL OF INDIAN RIVER 59 3299133 Page 3 ri:::;<:: SuppOrt Schedule (Complete only if you checked a box online 10, 11 , or 12. ) Use cash method of accounting. Note : You may use the worksheet in the instructions for convertingfrom the accrual to the cash method of accounling , Calendar year or fiscal year beg inn inq in ► a 2000 b 1999 c 1998 d 1997 a Total 15 Gifts, grants , and contributions received . (Do not include unusual rants. See line 28. ) . . . . . . . . . . . . ... 234 811 121 , 500 130 063 63 r 170 549r544 16 Membership fees received 10 , 325 8 7 5 5 7 r 5 8 0 11065 2 7 7 2 5 17 Gross receipts from admissions, merchandise sold or services performed, or furnishing of facilities in any activity that is related to the organization's charitable, etc., purpose 2 5 7 3 8 24 , 319 2 0 4 71 4 8 0 9 3 118 6 21 18 Gross inc. from int. , dividends, amounts received from pymt, on securities loans (section 512(a)(5)), rents, royalties, & unrelated busn. taxable inc. (less sec. 511 taxes) from businesses acquired by the organization after June 30, 1975 . . . . 991 428 440 233 2 0 9 2 19 Net income from unrelated business activities not included in line 18 . . . . . . 20 Tax revn. levied for the organization's ben. & either paid to it or expended on its behalf 21 The value of serv. or facl, furnished to the org. by a governmental unit without charge. Do not incl. the value of serv. or fac. gen- erally furnished to the public without charge 22 Other income. Attach a schedule. Do not from include ca (losssets STMT 7 1 0 2 8 1 0 2 8 23 Total of lines 15through 22 . . . . . . . . . . 272r893 155f002 158r554 112f561 699r010 24 Line 23 minus line 17 247r155 130 683 138 , 083 64r468 580r389 25 Enter 1 % of line 23 2 , 729 1 550 1 5 86 Ir 12 6 26 Organizations described on lines 10 or 11 : a Enter 2% of amount in column (e), line 24 ► 26a 11 6 0 8 . . . . . . . . . . . . . . . . . . . . . w b Prepare a list for your records to show the name of and amount contributed by each person (other than a governmental unit or publicly supported organization) whose total gifts for 1997 through 2000 exceeded the amount shown in line 26a . Do not file this list with your return. Enter the total of all these excess amounts ► 26b c Total support for section 509(a)( 1 ) test: Enter line 24, column (e) ► 26c 5804389 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . d Add: Amounts from column (e) for lines: 18 2 , 0 9 2 1 g 22 1 , 0 2 8 2sb _ 10b2sd . ,. ... .. ..v. ... »::3<< > :12>0< e Public support (line 26c minus line 26d total) ► 26e 5 7 7 2 6 9 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . f Public su ort percentage (line26e numerator. divided b line 26c denominator . . . . . . . . . . . . . . . . . . . . . . . . . . ► 26f 99o4624 % 27 Organizations described on line 12: a For amounts included in lines 15, 16, and 17 that were received from a "disqualified person," prepare a list for your records to show the name of, and total amounts received in each year from, each "disqualified person." Do not file this list with your return. Enter the sum of such amounts for each year: N/ A (2000 ) , . . . . . . . . . . . . . . . . . . . . . . . (1998) . . . . . . . . . . . . . . . ( 1997) . . . . . . . ) . . . . . . . . . . (1999 . . . . . . . . . . . . . . . . . . b For any amount included in line 17 that was received from each person (other than "disqualified persons. ."). ,. pr. ep. . are a list for your records to show the name of, and amount received for each year, that was more than the larger of (1 ) the amount on line 25 for the year or (2) $5,000. (Include in the list organizations described in lines 5 through 11 , as well as individuals . ) Do not file this list with your return. After computing the difference between the amount received and the larger amount described in (1 ) or (2), enter the sum of these differences (the excess amounts) for each year: N/ A (2000) . . . . . . . . . . . . . . . . A . . . . . . ( 1999) . ( 1998 ( ) . . . . . . . . . . . . . . . . . . . . . . . 16 ) . . . . . . . . . . . . . . . . . . . . . . . ( 1997) . . . . . . . . . . . . . . . . . . . . . . . . c Add : Amounts from column a for lines: 15 17 20 21 ► 27c d ALine 27a total and line 27b total . . . . . . . . . . 00- 27d e Public support (line 27c total minus line 27d total) . . . . . . . ► 27e . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . f Total support for section 509(a)(2) test: Enter amount on line. . ,23 column e ► 27 ?> ? '.'•.'= > f - .. . . .. . . . . . . . . . ... g Public support percentage (line 27e (numerator) divided by line 27f (denominator)) ► 27 % h Investment income percentage line 18 , column a numerator divided by line 27f denominator ► 27h % 28 Unusual Grants : For an organization described in line 10, 11 , or 12 that received any unusual grants during 1997 through 2000 , prepare a list for your records to show, for each year, the name of the contributor, the date and amount of the grant, and a brief description of the nature of the grant. Do not file this list with your return Do not include these grants in line 15 DAA Schedule A (Form 990 or 990-EZ) 2001 55 715411107/2002 8:59 AM Schedule A (Form 990 or 990-EZ) 2001 CULTURAL COUNCIL OF INDIAN RIVER 59 - 3299133 Page 4 Pax'# 11`> ' Private School Questionnaire (See page 7 of the instructions . ) To be completed ONLY by schools that checked the box on line 6 in Part I 29 Does the organization have a racially nondiscriminatory policy toward students by statement in its charter, bylaws , N/A Yes No other governing instrument, or in a resolution of its governing body? 29 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . :::::::::. .:::::::::: :::..:::::: 30 Does the organization include a statement of its racially nondiscriminatory policy toward students in all its brochures , catalogues, and other written communications with the public dealing with student admissions , programs , and scholarships? 30 31 Has the organization publicized its racially nondiscriminatory policy through newspaper or broadcast media during the period of solicitation for students or duringthe registration g on period if it has no solicitation program , in a way _ that makes the policy known to all parts of the general community it serves? 31 If "Yes ," please describe ; if "No," please explain . (If you need more space, attach a separate statement.) 32 Does the organization maintain the following: a Records indicating the racial composition of the student body, faculty, and administrative staff? 32a ~ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b Records documenting that scholarships and other financial assistance are awarded on a racially nondiscriminatory basis? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . c Copies of all catalogues , brochures , announcements, and other written communications to the public dealing with student admissions, programs, and scholarships? 32c d Copies of all material used by the organization or on its behalf to solicit contributions? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If you answered "No" to any of the above. Please explain . (If you need more space , attach a separate statement.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33 Does the organization discriminate by race in any way with respect to: a Students' rights or privileges? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . b Admissions policies? c Employment of faculty or administrative staff? d Scholarships or other financial assistance? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . e Educational policies? f Use of facilities? 33f g Athletic programs? 33 h Other extracurricular activities? If you answered "Yes" to an of the above lease explain. Ifo Y , P p ( you need more space, attach a separate statement. ) 34a Does the organization receive any financial aid or assistance from a governmental agency? 34a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b Has the organization's right to such aid ever been revoked or suspended? 34b If you answered "Yes" to either 34a or b , please explain using an attached statement. 35 Does the organization certify that it has complied with the applicable requirements of sections 4 .01 through 4.05 of Rev. Proc. 75-50 1975-2 C.B . 587, covering racial nondiscrimination? If "No ," attach an explanation . . . . . . . . . . . . . . . . . . . . . . • . . • . . : - . • . . 135 Schedule A (Form 990 or 900-EZ) 2001 DAA 5Z 7154 11/07/2002 8:59 AM Schedule A 11 990 or 0I C-711 2001 CULTURAL COUNCIL OF INDIAN RIVER 5911111113299133 > E Lobbying Expenditures by Electing Public Charities (See page 9 of the instructions . ) Page 5 To be completed ONLY b an eli ibie orgianization that filed Form 5768 N A Check 110o, a if the or anization belongs to an affiliated group. Check ► b if ou checked "a" and "limited control" provisions apply. Limits on Lobbying Expenditures (a) (b) Affiliated group totals To be completed he term "ex enditures" means amounts nniij or incurred. for ALL electing 36 Total lobbying expenditures to influence public opinion (grassroots lobbying) 36 organizations 37 Total lobbying expenditures to influence a legislative body (direct lobbying) 37 38 Total lobbying expenditures (add lines 36 and 37) . . . ' ' ' . • ' • ' ' ' ' ' ' 38 39 Other exempt purpose expenditures " " " " " 40 Total exempt purpose expenditures (add lines 38 and 39) ' ' ' ' ' ' ' ' • • • • • • • • . 39 40 41 Lobbying nontaxable amount. Enter the amount from the followingtable- If the amount un t line• ne 40 is-1 The lobbying bb ' nontaxable n Y a g tax bl e amount unt ls ' - Not over r 0 $ 500 0 0 20 o /o of the amount on lin :>::s>::>s: :>;::>:<:>:;;:>s::: <:::»::»::»::»<::>:;::•::.;:.::.;;:•::.::. :.;:;:.�::�:.;;:.:�:;:;::.:�:.;:.::•:�:• ;:.;.:.�:.:•;;:•::•;;: Over $500,000 but not over $ 1 , 000,000 . . $ 100 . . . . . .000 Plus :;�:>`> : <::<:::».:• >:•>:::�.>:�>;:::.:;;::.;;:;:.;:•;:.>::;:z:.;:;•:: :;.:;:•;;::>::;;•:;: .;:;�>::;:::»�•::;:.;:.:�;:;::::�:;.:.;;: of the excess ss over 50 0 Over $ 0 00 . 1 00 $ 000,000 but . . . . of . .. . 00 0 $ 5 0 . . u . . /o O P f the excess over $ 1 000t00 Over $ 1 , 500,000 but not over $ 17, 000,000 0 0 41. . $225, D00 plus 5 /o of the excess over z.:: » :::> >:'•#:><:::>;:::<<:s .. ... s:<:; Over � er $ 1 ,500, 000 ;: 17 00 0 $ 00 0 0 0 00 0 . . . . . . . .. . . . . . . ... . . . . . . . . . . . . . . . . . .. .. . . . .. . . . . .. . . . . . . . . . . . . . . . . . . . . .. . . . . . . 42 Gra ::11111>:>::>X.....:zI. ::;:<z:::>::>:<::;:;:;:<::>::>:::<:::::> :: :.:;:. :.: :;:•::.::•;::.,•:::,11.. 11::::... . . . . . . ..,. . Grassroots nontaxable amount enter 1111:::1: ;;>:hre:-;;:::<:;:<: : :r:. z:.... :X"..':» >:<•:> :: •::.:.:>::>: :::;:,:::::: ::<:::»:<::: :::.:;::>:<:: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( 25 /o of line 41 ) . . .. :. . . . :., :. . .,::::.::::.,.:::.<:.:.;:;;.:;;:.:;.::.:>:>:;»1111:: 43 Subtract line 42 from line 36. Enter -0- if line 42 is more than line 36 42 44 Subtract line 41 from line 38. Enter -0- if line 41 is more than line 38 . ' ' ' . ' ' ' • • . • • • • 43 Caution: If there is an amount •:<•;:•;z•:.�:: ;;•;.;;:•:•:::::.��•: »11;11 <•: �: = > « zz : ��>':: � :�:> :<>� :>:::::;.;:•;••;:•>:. :.;:•:�:;:::.::-;>:•.. . unt on either line 43 or line 44 04720. u must fil eF 0 rm : ? � •`:: ::: ;1111::;:' 1111: 4- Y e a r Averaging d era ' In Period g ergo Under Se (Some organizations that made a section 501 (h) election do not have It complete all the five columns See the instructions for lines 45 throw h 50 on 11 of the instructions. ) mns below. a e Lobbying Expenditures During 4-Year Averaging Period Calendar year (or a fiscal ear beginning in ► 2001 (b) (c) (d) (e) 2000 1999 1998 Total 45 Lobbying nontaxable amount . . . . • . 46 Lobbying ceiling amount 1 >:;;> :::: > :::»::>::::>::>; : :>=;::>::;s»:::<z :::>:::> >:: >::>;:;:.::.;:.;;::•;:•;:.;:•;:;::::._:: :::::: :. . . . . . . . . . . . . . . line 5e 11. . . . . . . . . .. .. . . .. 111111::::: 47 Total lobbying ex enditures 48 Grassroots nontaxable amount 49 Grassroots ceiling amount15 ° ( /o of line 48(e)) Hi 50 Grassroots Jobb in ex enditures `' Lobbying Activity by Nonelecting Public Charities For reporting only by organizations that did not com late Part VI -A See a e 12 of the instr. N/A During the year, did the organization attempt to influence national, state or local legislation , including any attempt to influence public opinion on a legislative matter or referendum , through the use of: Yes No Amount a Volunteers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b expenses reported on liPaid staff or management (include compensation in a en n . . . . . . . . . ' ' ' . . . . . . . . . . . . . . . . . . . . nes crough h. ) through c Media advertisements d Mailings to members, legislators , or the public . . . . . . . . ' ' ' ' ' ' ' . . . ' . ' ' ' ' ' ' • • • • • • • • • • • . e Publications , or published or broadcast statements . . . . . . . . . . ' ' ' ' ' ' . • • ' ' . ' ' ' ' ' ' • • • • • • • • . • • f Grants to other organizations for lobbying ' • " " " " " • • • • • • • • • • • • • • • • • • Y g purposes . . . . . . . . 0 . . . . . . g Direct contact with legislators , their staffs , government officials, or a legislative body h Rallies, demonstrations , seminars, conventions , speeches, lectures , or any other means. . . . . . . . . . . . . . . . . . . . . . . . . i Total lobbying expenditures (add lines c through II ' ' ' ' ' ' ' ' ' • • • • • • • • • • If Yes" to any of the above also attach a statement ivin a detailed descri tion of the Jobb in activities . Schedule A (Form 990 or 990-EZ) 2001 DAA �� 715411/07/2002 8:59 AM Schedule A Form 990 or 990-EZ 2001 CULTURAL COUNCIL OF INDIAN RIVER 591111113299133 Pae s < r "1M Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exem t Or anizations See rI 12 of the instructions . 51 Did the reporting organization directly or indirectly engage in any of the following with any other organization described in section 501 (c) of the Code (other than section 501 (c)(3) organizations) or in section 527, relating to political organizations? a Transfers from the reporting organization to a noncharitable exempt organization of: (i) Cash Yes No (ii) Other assets 51a i X Other transactions : . . . . . . . . . . . . . . . . . . . . a ii X (i) Sales or exchanges of assets with a noncharitable exempt organization (ii) Purchases of assets from a noncharitable exempt organization b i X . . . . . . . . . . . . . . . . . . b. . . . . . . . . . . . . . . . . ii X (iii) Rental of facilities, equipment, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (iv) Reimbursement arrangements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b iii X (v) Loans or loan guarantees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b iv X (vi) Performance of services or membership or fundraising solicitations • • � • • • • . . . • ' ' ' • ' ' ' ' • • • • ' ' ' ' ' ' ' ' by X c Sharing of facilities , equipment, mailing lists , other assets , or paid employees b vi X d If the answer to any of the above is "Yes , " complete the following schedule. Column (b) should always show the fair market value of the X . 40 . 4 . 0 c goods, other assets, or services given by the reporting organization . If the organization received less than fair market value in any transaction or a *ng arran ement, show in column d the value of the oods , other assets , or services received: (a) (b) (c) Line no. Amount involved Name of noncharitable exempt o N /A anization (d) Descri tion of transfers, transactioaring arrangements 52a Is the organization directly or indirectly affiliated with , or related to, one or more tax-exempt organizations described in section 501 (c) of the Code (other than section 501 (c)(3)) or in section 527? b If "Yes ," complete the followingschedule: Yes No (a) (b) Name of organization T of organization (c) N ADescription of relationship DAA Schedule A (Form 990 or 990"F1) 2001 w I flu ucuvco.aar%m Form 990 Special Events Schedule For calendar ear 2001 , or tax ear be innin 2001 Name 10 O 1 01 , and ending9 / 30 / 02 11111 CULTURAL COUNCIL OF INDIAN RIVER Employer Identification Number COUNTYr INC . 59 - 3299133 (A) Gross receipts (B) P OthersI6 , 110 Total 0 0 0 16 , 110 Less contributions 0 0 0 p 0 Gross revenue 16 , 110 0 0 0 16 , 110 Less direct expenses — 13 871 p 0 0 13 , 871 Net income (loss) 2 239 0 0 0 2 , 239 Descriptions A) SPECIAL EVENTS B ) C) Others �J 7154 11/07/2002 8:59 AM Form 4562 Depreciation and Amortization OMB No. 1545-0172 (Rev. March 2002) Department of the Treasury (Including Information on Listed Property) 2001 Internal Revenue Service See se crate instructions. 111� Attach to your tax return . Attachment Names) shown on return CULTURAL COUNCIL OF INDIAN RIVER Sequence No. 67 COUNTY INC . Eldentifying number Business or activity to which this form relates - 3 2 99 :913 3 INDIRECT DEPRECIATION €< ' Election To Expense Certain Tangible Property Under Section 179 . . . . . . . . :. . . . Note : If ou have an fisted propert v. Complete Part V before ou corn tete Part I . 1 Maximum amount. See page 2 of the instructions for a higher limit for certain businesses 2 Total cost of section 179 roe 1 $24 ,000 property► ty placed in service (see page 3 of the instructions) 2 3 Threshold cost of section 179 property before reduction in limitation . . . . 4 Reduction in limitation. Subtract line 3 from line 2. If zero or less , enter -0- 3 $200 , 000 5 Dollar limitation for tax year. Subtract line 4 from line 1 . If zero or less, enter 0-. If married filin separate) , see 4 p . 3 of the instr. 6 5 a Descrition of roe b Cost business use only) c Elected cost 7 Listed property. Enter the amount from line 29 8 Total elected cost of section 17 m � " 8 property. Add amounts in column (c), lines 6 and 7 _. . . . . . :: : :: :': :: "':`::: ::::"::::':":::::"'. :' :"::::"::"' 9 Tentative deduction . Enter the smaller of line 5 or line 8 . . . . ' . ' . ' ' ' ' . ' ' ' ' ' ' ' ' ' ' ' 8 10 Carryover of disallowed deduction from line 13 of your 2000 Form 4562 . . . . . . . . 9 . . . . . . . . . . . . . 11 Business income limitation. Enter the smaller of business income (not less than zero) or line 5 (see instructions) 10 12 Section 179 expense deduction. Add lines 9 and 10, but do not enter more than line 11 , . . . 13 Carryover of disallowed deduction to 2002. Add lines 9 and 10 less line 12 12 Note : Do not use P 13 Part tl or Part III below. . w for listed roe . Instead use Part V. ecial Depreciation Allowance and Other De reciation Do not include listed prol) 14 Special depreciation allowance for certain property (other than listed property) acquired after Sept. 10, 2001see 15 Property subject to section 168(f)(1 ) election (see page 4 of the instructions) ( . . .pg. 3 of the instr.) 14 16 Other de reciation tnctudin ACRS see page 4 of the instructions < Ilfi<< MACRS Depreciation Do not include listed roe See a e 4 of the instruct ions . 16 2r468 Section A 17 MAI deductions for assets placed in service in tax years beginning before 2001 18 If you are electing under section 168(i)(4) to group any assets placed in service durin the .tax 17 9 ear ' Into one or more general ral asset accounts ,co u nts check ck here Section' ton B- As sets Placed ed in Service During 2001 Tax Year Usin the General De reciation S •stem' ..' •. d or (a) Classification of property (b) Month andd (c) Basis fepreciation (d Recovery year placed (busin s for epment use ) ry e Convention service only-seet i period ( ) (f) Method (g) Depreciation deduction 19a 3-year Propertv b 5-yearprope c 7- ear property d 10-year property P rtY e 15-yearro e P P rtY f 2G-year property 25-year property h Residential rental 25 S/L property 27. 5vies . MM S/L i Nonresidential real 27 .5rs . MM S/L property 39 rs . eeeee MM S/L MM S/L Section C-Assets Placed in Service During 2001 Tax Year Usin the Alternative De reciation S tem 20a Class life b 12-year S/L C 40-year 12 yrs• S/L I'i?ar#Ik >I Summa See page 6 of the instructions . 21 Listed property. Enter amount from line 28 22 Total. Add amounts from line 12, lines 14 through 17, lines 19 and 20 in column Enter here and on thea (g ), and line 21 . 21 appropriate lines of your return . Partnerships and S corporations-see instr. . 2 4 6 8 23 For assets shown above and placed in service during the current year, 22 enter the portion of the basis a sls attributable to section 263A A costs For AoAr P a erwo rk Reduction du t' on Act Notice,ce see separate instructions . 23 Form 4562 (2001 ) (Rev. 3-2002) THERE ARE NO AMOUNTS FOR PAGE 2 7154 CULTURAL COUNCIL OF INDIAN RIVER 59-3299133 Federal Statements 11 /7/2002 8 : 59 AM FYE : 9/30/2002 Statement 1 - Form 990 Part 11, Line 43 - Other Functional Expenses Total Program Mgt & Fund- Description Expenses Service General Raising EXPENSES $ $ $ $ CONTRACTED LABOR 75 , 694 74 , 034 11660 ADVERTISING 55 , 800 42 , 820 12 , 980 BANK CHARGES 245 DUES AND SUBSCRIPTIONS 245 FOOD 1 , 377 11064 313 INSURANCE 157 157 LICENSES AND TAXES 61595 6 , 385 210 MARKETING 11221 234 987 MISCELLANEOUS 356 267 89 PROFESSIONAL MEMBERSHIPS 401 401 420 420 TRANSPORTATION WEB EXPENSES 505 505 21000 21000 TOTAL $ 144 , 771 $ 127 , 886 $ 16 , 885 $ 0 Statement 2 - Form 990 Part III Line a - Statement of Program Service Accomplishments CHILDREN ' S PROGRAMS : SUMMER CAMP PROVIDED TO EDUCATE CHILREN ABOUT THE ARTS SCHOLARSHIP PROGRAM PROVIDED TO CHILDREN WHO DEMONSTRATE NATURAL TALENT IN THE ARTS ART PROGRAM FOR AT RISK CHILDREN 57 1 -2 7154 CULTURAL COUNCIL OF INDIAN RIVER 11 /7/2002 8 : 59 AM 59 -3299133 Federal Statements FYE : 9/30/2002 Statement 3 - Form 990 Part IV Line 57 - Land Buildin s and E ui ment Description Beginning Accum End of Accum COMPUTER EQUIP of Year Deprec Year Deprec - FURNITURE & EQUIP $ 11 , 143 $ 21918 $ 11 , 143 $ 5 , 147 11300 1 , 060 11300 1 , 300 TOTAL $ 12 , 443 $ 31978 $ 12 , 443 $ 6 , 447 Statement 4 - Form 990 Part IV Line 58 - Other Assets Description Beginning End of of Year Year DUE FROM US TREASURY $ $ 1 , 307 TOTAL $ 0 $ 11307 Statement 5 - Form 990 Part IV Line 65 - Other Liabilities Description Beginning End of of Year Year PAYROLL TAXES PAYABLE $ 1 , 566 $ 11642 TOTAL $ 1 , 566 $ 11642 3-5 7154 CULTURAL COUNCIL OF INDIAN RIVER 11 /7/2002 8 : 59 AM 59-3299133 Federal Statements FYE : 9/30/2002 Statement 6 - Form 990 Part V - List of Officers Directors Trustees and Key Employees Name Address Average Title Hours Compensation Benefits _ Expenses KNAPP , MARY VERO BEACH , FL CHAIRMAN 2 LEVI , JOYCE VERO BEACH , FL DIRECTOR 2 MRCHT , KEN VERO BEACH , FL DIRECTOR 2 MALLINSON , SUSAN VERO BEACH , FL DIRECTOR 2 MILLER , BARBARA VERO BEACH , FL DIRECTOR 2 RICHARDSON , ROBERT VERO BEACH , FL VICE - CHAIRMA 2 SEXTON , CHRISDALE VERO BEACH , FL DIRECTOR 2 STARK , RICHARD VERO BEACH , FL DIRECTOR 2 TEMPLE , ROBERT VERO BEACH , FL DIRECTOR 2 TUCKER , SHEILA VERO BEACH , FL DIRECTOR 2 KELLY , MARY JAYNE VERO BEACH , FL EXEC DIR 50 311985 51532 6 7154 CULTURAL COUNCIL OF INDIAN RIVER 11 /7/2002 8 : 59 AM 59-3299133 Federal Statements FYE : 9/30/2002 Statement 7 -.Schedule A Part IV-A. Line 22 - Other Income Description 2000 1999 1998 1997 MISCELLANEOUS INCOME $ 1 , 028 $ $ $ TOTAL $ 1 , 028 $ 0 $ 0 $ 0 l� 7 7154 CULTURAL COUNCIL OF INDIAN RIVER 59-3299133 Federal Statements 11 /7/2002 8 : 59 AM FYE : 9/30/2002 Direct Public Support ContributorCash Noncash FALASIRI RUGS Contribution Contribution CURRY & COMPANY REAL ESTATE $ $ 28 , 500 MISCELLANEOUS CONTRIBUTORS 71795 21 , 600 TOTAL $ 7 , 795 $ 50 , 100 Government Contributions or Grants ContributorCash Non-Cash Contribution Contribution STATE OF FLORIDA $ 33 , 185 $ INDIAN RIVER COUNTY 192 , 585 TOTAL $ 225 , 770 $ 0 7154 CULTURAL COUNCIL OF INDIAN RIVER 11 /07/2002 8 : 59 AM 59-3299133 Federal Asset Report FYE : 9/30/2002 Indirect Depreciation Date Bus Sec Sec Asset Description In Service Cost % 179 168 (k) Basis Per Conv Meth Prior Current Other Depreciation : 1 COMPUTER/PRINTER/MONITOR 9/19/98 41032 0 42032 5 MO S/L 2,444 806 2 FURNITURE 9/03/97 11300 0 1 ,300 5 MO S/L 1 ,060 240 3 COMPAQ COMPUTER 6/01 /01 72111 0 7, 111 5 MO S/L 474 19422 Total Other Depreciation 12,443 0 12,443 3 ,978 22468 Total ACRS and Other Depreciation 12,443 0 12 443 31978 2,468 Grand Totals 12,443 0 12,443 3 ,978 21468 Less: Dispositions 0 0 0 0 0 Net Grand Totals 12,443 0 12,443 31978 2,468 7154 11 /07/2002 8:47 AM Form 2848 Power of Attorney (Rev. January 2002) OMB No. 1545-0150 Department of the Treasury and Declaration of Representative For IRS Use Only Internal Revenue Service See the searate instructions . • • Received by. P 't Power of Attorney (Type or print. ) Name Telephone 1 Taxpayer information. Taxpa er s must sign and date this form on a e 2, line 9. Function Date Taxpayer name (s) and address Social security number(s) Employer identification CULTURAL COUNCIL OF INDIAN RIVER number COUNTY , INC . 59 - 3299133 2145 14TH AVENUE 1 Daytime telephone number Plan number (if applicable) VERO BEACH FL 32960 177211111, 7701111114857 hereby appoint(s) the following representative(s) as attomey(s)-in-fact: 2 Representative(s) must sign and date this form on a e 2, Part II . Name and address CAF No. 6 5 0 5 - 6 8 5 6 6 R SCOTT A . NUTTALL Telephone No. 7721111112311111116902 3111 CARDINAL DRIVE . . . . . . . . . . . . . . . . . . . . 4 . . . 4 . . . . . . . . . . . . . . . . . Fax No. 72 - 231 - 4099 7 VERO BEACH FL 32963 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Check if new. Address Telephone No. Name and address CAF No. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Telephone No. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Fax No. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Check if new: Address Telephone No. Name and address CAF No. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Telephone No. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Fax No. Check if new: Address Tele hone No. to represent the taxpayer(s) before the Internal Revenue Service for the following tax matters: 3 Tax matters Type of Tax (Income, Employment, Excise, etc.) Tax Form Number Year(s) or or Civil Penal See the instructions for line 3 . 1040, 941 , 720 , etc. Period(s) PENALTY 990 9 / 30 / 01 4 Specific use not recorded on Centralized Authorization File (CAF). If the power of attomey is for a specific use not recorded on CAF, check this box. See theinstructions for Line 4. Specific uses not recorded on CAF. . , , • • , , . • . , • • . . . . . . . . . . . . 5 Acts authorized. The representatives are authorized to receive and inspect confidential tax information and to perform any and all acts that I (we) can perform with respect to the tax matters described on line 3 , for example, the authority to sign any agreements, consents, or other documents . The authority does not include the power to receive refund checks (see line 6 below), the power to substitute another representative , the authority to execute a request for a tax return , or a consent to disclose tax information unless specifically added below, or the power to sign certain returns. See the instructions for Line 5. Acts authorized. List any specific additions or deletions to the acts otherwise authorized in this power of attorney: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I. . . . . . . . . . . . . . Note: In general , an unen rolled preparer of tax retums ca. . . nnot sign any docu. . . ment for a taxpayer.. . See Revenue. . . . Procedure 81 -38, : . . . . . . . . . . . . . . . . . . . . . . . . . printed as Pub. 470, for more information . Note : The tax matters partner of a partnership is not permitted to authorize representatives to perform certain acts. See the separate instructions for more information . 6 Receipt of refund checks . If you want to authorize a representative named on line 2 to receive , BUT NOT TO ENDORSE OR CASH, refund checks , initial here and list the name of that representative below. Name of representative to receive refund check(s) C For Paperwork Reduction and Privacy Act Notice, see the separate instructions. Form 2848 (Rev. 1 -2002) DAA � yr 7154 11 /07/2002 8:47 AM Form 2848 (Rev. 1 -2002) CULTURAL COUNCIL OF INDIAN RIVER 59 3299133 Page 2 7 Notices and communications . Original notices and other written communications will be sent to you and a copy to the first representative listed on line 2 unless you check one or more of the boxes below. a If you want the first representative listed on line 2 to receive the original , and yourself a copy, of such notices or communications , check this box . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b If you also want the second representative listed to receive a copy of such notices and communications, check this box ► . . . . . . . . . . . . . . . . . . . . . c if you do not want any notices or communications sent to your representative(s), check this box . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ► 8 Retention/revocation of prior power(s) of attorney. The filing of this power of attorney automatically revokes all earlier power(s ) of attorney on file with the Internal Revenue Service for the same tax matters and years or periods covered by this document. If you do not want to revoke a prior power of attorney, check here ► . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . YOU MUST ATTACH A COPY OF ANY POWER OF ATTORNEY YOU WANT TO. R* * . . AI.N IN. . .EF. . F.EC. . T. . . . . . . . ------ 9 Signature of taxpayer(s). If a tax matter concerns a joint return, both husband and wife must sign if joint representation is requested , otherwise , see the instructions . If signed by a corporate officer, partner, guardian , tax matters partner, executor, receiver, administrator, or trustee on behalf of the taxpayer, I certify that I have the authority to execute this form on behalf of the taxpayer. ► IF NOT SIGNED AND DATED, THIS POWER OF ATTORNEY WILL BE RETURNED. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . . . . . . . . . Signature Date Title (if applicable) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Print Name . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Signature Date Title if applicable) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Print Name Declaration of Representative Caution: Students with a special order to represent taxpayers in Qualified Low Income Taxpayer Clinics or the Student Tax Clinic Program , see the separate instructions for Part 11 . Under penalties of perjury, I declare that: • 1 am not currently under suspension or disbarment from practice before the Internal Revenue Service ; • 1 am aware of regulations contained in Treasury Department Circular No. 230 (31 CFR, Part 10), as amended, concerning the practice of attorneys , certified public accountants, enrolled agents , enrolled actuaries , and others; • 1 am authorized to represent the taxpayer(s) identified in Part I for the tax matter(s) specified there; and • 1 am one of the following: a Attomey-a member in good standing of the bar of the highest court of the jurisdiction shown below. b Certified Public Accountant-duly qualified to practice as a certified public accountant in the jurisdiction shown below. c Enrolled Agent-enrolled as an agent under requirements of Treasury Department Circular No. 230. d Officer-a bona fide officer of the taxpayer's organization. e Full-Time Employee-a full-time employee of the taxpayer. f Family Member-a member of the taxpayer's immediate family (i.e. , spouse, parent, child , brother, or sister). g Enrolled Actuary-enrolled as an actuary by the Joint Board for the Enrollment of Actuaries under 29 U .S .C. 1242 (the authority to practice before the Service is limited by section 10 .3(d)( 1 ) of Treasury Department Circular No. 230). h Unenrolled Return Preparer-an unenrolled return preparer under section 10.7(c)(viii ) of Treasury Department Circular No. 230 . HF THIS DECLARATION OF REPRESENTATIVE IS NOT SIGNED AND DATED, THE POWER OF ATTORNEY WILL BE RETURNED, Designation-Insert Jurisdiction (state) or above letter (a-h) Enrollment Card No. Signature Date B FLORIDA Form 2848 (Rev. 1 -2002) DAA � 1 3 . 51 PM Cultural Council of Indian River County 05/14/03 Profit & LOSS Accrual Basis April 2003 Apr 03 Income CONTRIBUTIONS4NDIVIDUAL 125 .00 FUNDRAISING 15,000 . 00 GRANT INCOME CHILDREN SERVICES 31099 .48 GENERAL REVENUE-COUNTY 5 ,615 . 38 LAA 31225 .00 TDC 36103 . 53 Total GRANT INCOME 15 , 043 . 39 INTEREST INCOME 14 . 19 LICENSE PLATES-STATE 11915. 80 MEMBERSHIP-CAC 150.00 MEMBERSHIPS 625.00 Total Income 32,873 .38 Expense ADVERTISING 460.00 ART SUPPLIES 346.88 BANK SERVICE CHARGES 15 .50 EQUIPMENT MAINTENANCE 46.89 EQUIPMENT RENTAL 158 .03 FUNDRAISING EXP 32 .00 HEALTH INSURANCE 744,91 LIABILITY INSURANCE 1 , 939.93 OFFICE SUPPLIES 290.92 OUTSIDE ARTISTIC FEES AND SERVI 2 ,335 .00 OUTSIDE OTHER FEES AND SERVIC.., 11527 .40 PAYROLL TAXES 606. 12 POSTAGE & DELIVERY 59.00 PRINTING 12706 .20 PROFESSIONAL MEMBERSHIPS 220 . 00 RENT 762 , 34 SALARIES & WAGES 71923 .08 STAFF DEVELOPMENT 197 . 37 TELEPHONE 288.44 WEB EXPENSES 30.00 Total Expense 19,690 .01 Net Income 13,183.37 Page 1 2: Budget Worksheet 2002 -2003 Revised Au 27 INCOME Membership 8000 Fundraising 30000 Grants LAA 9677 General Revenue 59118 AIE 3,333 CSA - Schdarshi 35000 CSA - Cam 53000 Foundations 15000 TDC 55934 License Plate 8000 Contributions 10000 Registration 1500 Interest 180 Other 9000 Other TOTAL INCOME 297742 Grants LAA Gen. Rev. AIE CSNSCH CSN-CAMP TDC Lic. Plate Operations EXPENSES Salaries 103000 9677 59118 0 0 0 30000 0 4205 Benefris 9000 0 0 0 0 0 3600 0 8400 Taxes 14400 00 0 0 0 4300 0 7700 mo Auntin 5000 0 0 0 0 0 0 0 5000 Advertising/MarketingAdvertising/Marketing 3000 0 0 0 00 3000 0 0 Art Supplies 12500 0 0 0 7500 5000 0 0 0 Artistic Fees 500 0 0 0 0 0 0 0 500 L)epreciation 1000 0 0 0 0 0 0 0 1000 DuesfMernbership 1950 0 0 0 300 650 1000 0 0 Fundraising 12300 0 0 0 0 0 0 0 12300 Liability Insurance 12000 0 0 0 1200 4000 0 0 6800 Licenses 275 0 0 0 0 0 0 0 275 Equip Rental. 2000 0 0 0 0 0 0 0 4000 Office Supplies 800 0 0 0 250 0 350 0 200 Outside Artistic Fees27100 0 0 1000 15300 10800 0 0 0 Penalties 200 0 0 0 0 0 0 0 200 Post a 4000 0 00 137 400 1750 0 1713 Printing 10000 0 0 0 200 300 7019 0 2481 Rent 9000 0 0 0 1620 1620 0 5960 Staff Development 2000 0 0 0 0 0 1000 0 1000 Telephone 4000 0 0 0 108 108 1440 0 3344 Transportation 7675 0 00 2560 5040 75 0 0 Workshops 50000 0 0 0 0 0 500 Website 2400 0 0 0 0 0 2400 0 0 Miscellaneous 32895 0 0 0 0 32895 0 01 0 Miscellaneous 14250 0 0 0 5250 9000 0 0 0 TOTAL EXPENSES 291745 9677 59118 1000 34425 69813 55934 0 65578 SURPLUS 5997 �0 Cultural Council of Indian River County Summer Cultural Camp Children's Services Advisory Committee — Indian River Summer Cultural Camp Organizational Chart Board of Directors Executive Director Camp Director Bookkeeper Program Evaluator IF IF Producers (3 ) Administrative Counselor IF IF Arts Instructors ( 16) Supervisors ( 16) L� Internal Revenue Service Department of the Treasury P . O . Box 2508 Cincinnati, OH 45201 Date : February 15 , 2000 Person to Contact : Vicki Adams 31 -04011 Customer Service Representative Cultural Council of Indian River County , Inc . Toll Free Telephone Number : 214514 t h Ave . Ste . 11 877-829-5500 Vero Beach , FL 32960-4413 Fax Number: 513-263-3756 Federal Identification Number: 59-3299133 Dear Sir or Madam : This letter is in response to our receiving your correspondence concerning your Advanced Ruling period which has been satisfied . Our records have been changed to reflect this . This letter will take the place of the copy you requested . Our records indicate that a determination letter issued in February 1996 granted your organization exemption from federal income tax under section 501 (c) (3) of the Internal Revenue Code . That letter is still in effect. Based on information subsequently submitted , we classified your organization as one that is not a private foundation within the meaning of section 509 (a) of the Code because it is an organization described in section 509 (a) (2 ) . This classification was based on the assumption that your organization ' s operations would continue as stated in the application . If your organization ' s sources of support, or its character, method of operations , or purposes have changed , please let us know so we can consider the effect of the change on the exempt status and foundation status of your organization . Your organization is required to file Form 990 , Return of Organization Exempt from Income Tax , only if its gross receipts each year are normally more than $25 , 000 . If a return is required , it must be filed by the 15th day of the fifth month after the end of the organization's annual _accounting , period . The law imposes a penalty of $20 a day , up to a maximum of $ 10 , 000 , when a return is filed late , unless there is reasonable cause for the delay . All exempt organizations (unless specifically excluded) are liable for taxes under the Federal Insurance Contributions Act (social security taxes) on remuneration of $ 100 or more paid to each employee during a calendar year. Your organization is not liable for the tax imposed under the Federal Unemployment Tax Act ( FUTA) . Organizations that are not private foundations are not subject to the excise taxes under Chapter 42 of the Code . However, these organizations are not automatically exempt from other federal excise taxes . Donors may deduct contributions to your organization as provided in section 170 of the Code . Bequests , legacies , devises , transfers , or gifts to your organization or for its use are deductible for federal estate and gift tax purposes if they meet the applicable provisions of sections 2055 , 2106 , and 2522 of the Code . -2- Cultural Council of Indian River County Inc. 59 - 3299133 Your organization is not required to file federal income tax returns unless it is subject to the tax on unrelated business income under section 511 of the Code . If your organization is subject to this tax , it must file an income' tax return on the Form 990-T , Exempt Organization Business Income Tax Return . In this letter, we are not determining whether any of your organization ' s present or proposed activities are unrelated trade or business as defined in section 513 of the Code . The law requires you to make your organization ' s annual return available for public inspection without charge for three years after the due date of the return . You are also required to make available for public inspection a copy of your organization 's exemption application , any supporting documents and the exemption letter to any individual who' requests such documents in person or in writing . You can charge only a reasonable fee for reproduction and actual postage costs for the copied materials . The law does not require you to provide copies of public inspection documents that are widely available , such as by posting them on the Internet (World Wide Web) . You may be liable for a penalty of $20 a day for each day you do not make these documents available for public inspection (up to a maximum of $ 10 , 000 in the case of an annual return ) . Because this letter could help resolve any questions about your organization 's exempt status and foundation status , you should keep it with the organization ' s permanent records . If you have any questions , please call us at the telephone number shown in the heading of this letter. This letter affirms your organization ' s exempt status . Sincerely , , & Robert C . Padilla Manager, Customer Service H95000001523 Instrument Prepared By: Richard B . Candler, Esq : 3111 Cardinal Drive Vero Beach, FL 32963 407/231 - 6900 Florida Bar No . ' 510040 ARTICLES OF INCORPORATION OF CULTURAL COUNCIL OF INDIAN RIVER COUNTY, INC. (A Not for Profit Corporation) ARTICLE I NAME The name of the Corporation shall be CULTURAL COUNCIL OF INDIAN RIVER COUNTY, INC. (hereinafter referred to as the " Corporation ') . Its principal office shall be located at 3111 Cardinal Drive, Vero Beach, Indian River County, Florida 32963 or at such other place as may be designated, from time to time, by the Board of Directors. ARTICLE 11 DURATION The period of duration of the Corporation is perpetual. ARTICLE III PURPOSE AND POWERS The corporation is organized exclusively for charitable, religious, education, and scientific purposes , including , for such purposes, the making of distributions to organizations that qualify as exempt organizations under section 501 (c)(3 ) .of the Internal Revenue Code, or the corresponding section of any future federal tax Bodo. The Corporation shall be empowered to acquire , rent, lease, let, hold, own, buy, conye�+, -mortgage, bond, sell or assign property, real , personal or mixed, and to borrow money, whether secured or unsecured, and to .do and perform all such other acts and things as are allowed by the laws of the State of Florida with respect to not-for-profit corporations, as those laws now exist or as they may hereafter provide, and by the laws governing organizations that qualify as exempt organizations under section 501 (c) (3) of the Internal Revenue Code, or the corresponding section of any future federal tax code. H95000001523 t V r . 13195000001523 ARTICLE IV PROHIBITION AGAINST DISTRIBUTION OF INCOME No part of the net earnings of the corporation shall inure to the benefit of, or be distributable to its members, trustees , officers, or other private persons, except that the corporation shall be authorized and empowered to pay reasonable compensation for services rendered and to make payments and distributions in furtherance of the purposes set forth in Article II , above. No substantial part of the activities of the corporation shall be the carrying on of propaganda, or otherwise attempting to influence legislation, and the corporation shall not participate in, or intervene in (including the publishing or distribution of statements) any political campaign on behalf of or in opposition to any candidate for public office. Notwithstanding any other provision of these articles, the corporation shall not carry on any other activities not permitted to be carried on (a) by a corporation exempt from federal income tax under section 501 (c) (3 ) of the Internal Revenue Code, or the corresponding section of any future federal tax code , or (b) by • a corporation, contributions to which are deductible under section 170(c)(2) of the Internal Revenue Code, or the corresponding section of any future federal tax code. ARTICLE V CAPITAL STOCK The Corporation shall have no capital stock and shall be composed of members rather than shareholders . ARTICLE VI QUALIFICATIONS OF MEMBERSHIP The categories of membership , qualifications for membership and the manner of admission shall be as set forth in and regulated by the By-Laws of the Corporation. ARTICLE VII VOTING RIGHTS Members of the Corporation will have such voting rights as are provided in the By-Laws of the Corporation. ARTICLE VIII LIABILITY FOR DEBTS Neither the members nor the officers or directors of the Corporation shall be liable for debts of the Corporation. H95000001523 ARTICLE IX BOARD OF DJRECTORS The Corporation ' s initial Board of Directors shall be composed of seventeen ( 17) members . The method of election of directors ; as well as the method for increasing or decreasing the number of the Board , shall be stated in the By-Laws. The names and addresses of the initial Directors of this Corporation are: NAME ADDRESS Dr. David J. Becker P . 0. Box 8269 Vero Beach, FL 32963 Betty Reed 501 Marbrisa Drive Vero Beach, FL 32963 Agnes Ash 921 Greenway Lane Vero Beach, FL 32963 Susan Baxter Gibson 1111 36th Street Vero Beach, FL 32960 W. Kent Barclay 1790 Coral Way North Vero Beach, FL 32963 -2613 Dr. Thomas P . Lowe P . 0 . Box 808 Wabasso, FL 32970 Richard B . Candler 3111 Cardinal Drive Vero Beach, FL 32963 Kathryn Collins 2555 27th Avenue Vero Beach, FL 32960 Marilyn Chenault 5601 North AIA, 9104 South Vero Beach, FL 32963 Hon. Carolyn Eggert 1840 25th Street Vero Beach, FL 32960 Gifford H. Hampton 5065 North AIA Vero Beach, FL 32963 H95000001523 l� H95000001523 Donna A. Keys 734 S . Fleming Street Sebastian, FL 32958 - - - -- --.--- Alma Lee Loy 1425 20th Street Vero Beach, FL 32960 j. B . Norton, Jr. P . O . Box 2947 Vero Beach, FL 32961 Whitney C. O ' Keefe 111 Orange Avenue Ft. Pierce, FL 34950 Gene Waddell P . O . Box 3488 Vero Beach, FL 32964 Ernestine W. Williams P . O . Box 1889 Vero Beach, FL 32961 ARTICLE X INCORPORATOR The names and addresses of the incorporators are as . follows : NAME ADDRESS Dr. David J. Becker P . O . Box 8269 Vero Beach, FL 32963 Richard B . Candler 3111 Cardinal Drive Vero Beach, FL 32963 ARTICLE XI INDEMNIFICATION The Corporation shall indemnify and.•hold harmless each person who shall . serve at any time hereafter as director or officer from and against any and all claims and liabilities to which such person shall become subject by reason of his or her having been, or hereafter being, a director or officer of the Corporation, or by reason of any action alleged to have been taken or omitted by him or her as such director or officer, and shall reimburse each such person for all legal and other expenses reasonably incurred by him or her in connection with any such claim or liability; provided, however, that no such person sh all be indemnified against, or be reimbursed, for any expense incurred in connection with any claim or liability arising out of his or her gross negligence or willful misconduct or otherwise prohibited by applicable Florida law. '� 3 H95000001523 ARTICLE XII DISSOLUTION Upon the dissolution of the corporation, assets shall be distributed for one or more exempt purposes within the meaning of section 501 (c)(3 ) of. the Internal Revenue Code, or the corresponding , section of any future federal tax code, or shall be distributed to the federal government. - or to a state or local government, for a public purpose. Any such assets not so disposed of shall be disposed of by a Court of Competent Jurisdiction of-the county in which the principal office of the corporation is then located, exclusively for such purposes or to such organization or organizations , as said Court shall determine, which are organized and operated exclusively for such purposes. ARTICLE XIV INITIAL REGISTERED OFFICE AND AGENT The registered office for the Corporation and the registered agent for the Corporation at that address is the following : Richard B . Candler, 3111 Cardinal Drive, Vero Beach, Florida 32963 . . IN WITNESS WHEREOF, I have hereunder set my hand and seal, acknowledged and filed the foregoing Articles of Incorporation under the laws of the State of Florid s day of ,P�/hQs� , 1995 . David esker, Incorporator c;�� Richard B . Candler, Incorporator ACCEPTANCE OF REGISTERED AGENT HAVING BEEN NAMED TO ACCEPT SERVICE OF PROCESS FOR THE ABOVE STATED CORPORATION AT THE PLACE DESIGNATED IN : THIS CERTIFICATE, I HEREBY AGREE TO ACT IN THIS CAPACITY AND I FURTHER AGREE TO COMPLY WITH PROVISIONS OF ALL STATUTES RELATIVE TO THE PROPER AND COMPLETE PERFORMANCE OF MY DUTIES . chard 13 , Candler, Registe\r d Agent BYLAWS OF CULTURAL COUNCIL OF INDIAN RIVER COUNTY , INC . Article I Name The name of this nonprofit corporation as provided by its Articles of Incorporation , shall be the Cultural Council of Indian River County , Inc . Article II Location The principal office of this Council shall be located in Indian River County , Florida . Article III Purpose Section 1 : This body shall be a nonprofit cultural and educational agency to support, encourage , coordinate , and promote excellence in the activities and programs of organizations and individuals providing services in the arts , sciences , and humanities to benefit residents of and visitors to Indian River County. Section 2: The Council is not formed for pecuniary or financial gain and no part of the assets , income , or profit of the Council is distributed to , or inures to , the benefits of its directors or officers . Article IV Membership Section l : Membership Types (a) Not-for-profit Member Organizations : Any not-for-profit organization (cultural, civic , government, etc . ) may become a member of the Council by payment of annual dues as established by the Board of Directors . (b) Individual Members : Any individual who is interested in the arts and cultural programs , or who is interested in' supporting the Council , may become a member of the Council by payment of annual membership fees as established by the Board of Directors . (c) Other Member Organizations : Any organization or business may become a non-voting member of the Council by payment of annual dues as established by the Board of Directors . Section 2: Nondiscriminatory Policy : No person shall be denied membership on the basis of race , color , religion, sex, age , or national origin . Section 3 : Voting . Each individual member and each not-for-profit member organization shall have one vote at any at-large membership meeting . Each not-for-profit member organization may vote through the officer , or agent designated by the not-for-profit member organization in writing to . the Board of Directors , not less than ten ( 10) days prior to any at-large membership meeting at which the vote will be cast. Routine business shall be transacted by a majority vote of the members in attendance . Section 4 : Meeting . All members shall be sent notice of an Annual Meeting not less than ten ( 10) nor more than twenty-one (21) days before the . meeting date . The Annual Meeting , held in the Spring , shall be for the purpose of electing members of the Board of Directors in accordance with the provisions of these bylaws and transacting such business as may properly come before the meeting . Notice of a meeting of members need not be given to any member who , in person or by proxy, signs a waiver of notice either before or after the meeting . Section 5 : Quorum. . At the Annual Meeting and General meeting of members , the presence , in person or by proxy , of eleven ( I1 ) members shall constitute a quorum for the transaction of any business brought before the meeting . Section 6 : Proxies . At all meetings of members , a member or member organization ' s representative may vote in person or by proxy executed in writing by the member or member organization ' s representative . The proxy shall be filed with the Secretary of the Courici.i before or at the time of the meeting . Section 7 : Procedures . Meetings shall be conducted using Robert' s Rules of Order as a procedural guide . Section 8 : Membership Fees . Membership fees , if any , shall be determined by the Board of Directors . BYLAws OF CULTURAL COUNCIL OF INDIAN RIVER COUNTY , INC . Page 2 Article V Governance Section 1 : The management of the affairs of this Council shall be vested in the Board of Directors consisting of not less than . five (5) and not more than twenty-five (25) members (not including any ex officio members) , to be elected at the Annual Meeting by the membership-at-large , according to Section 4 of this Article . The number of Directors shall be fixed by the Board of Directors from time to time ; provided , however, that no reduction of the number of Directors shall have the effect of shortening the term of any incumbent Director. Section 2: The Board of Directors shall have full responsibility for the management of the business of the Council . It shall determine the policies governing the administration and operation of the Council . It shall have full responsibility for the financial affairs and for the ethical and professional standards of the Council . Section 3 : Nominations , A Nominating Committee shall be appointed by the Chairman one month after taking office and shall prepare a slate of candidates for the Board of Directors , including the officers . The slate shall be presented to the Board of Directors at the last regularly-scheduled meeting of the Board of Directors before the Annual Meeting of the general membership and sent to the general membership with the notice of the Annual Meeting . Independent nominations may be submitted with the prior written consent of the nominee . Section 4 : Election. All members of the Board of Directors subsequent to those originally named incorporators shall be elected at the Annual Meeting of the general membership . The directors shall be divided into three separate classes . Each class will consist, as nearly as possible , of one-third of the number of directors then constituting the whole board . The term of office of those of the separate classes shall be staggered so that the term of each class of directors expires in separate years . In case of any increase in the number of directors , the additional directorships so created may be filled in the first instance in the same manner as a vacancy in the Board of Directors . The term of 'office shall be three (3) years . A member may be reelected for one ( 1 ) additional three (3) year terld. " A member shall not be eligible for reelection until the expiration of one ( 1 ) year following two (2) cbnsecutive three (3) year terms plus any partial term served as a result of election to fill a vacancy under Section 6 of this Article or any other completed term of less than three (3) years . Section 5 : Removal . Members of the Board of Directors with either a) three (3) unexcused absences within a twelve- month period, or b) three (3 ) excused absences in a six-month period , from regularly scheduled meetings • BYLAWS OF CULTURAL COUNCIL OF INDIAN RIVER COUNTY , INC . Page 3 of the Board of Directors shall be deemed to have resigned as a member of the Board of Directors and shall cease to be a member thereof. However, at the meeting following the three consecutive missed meetings , the member may be reinstated by a majority vote of the Board of Directors at the member ' s request. Any Director may be removed from office with or without cause by a majority vote of the Board of Directors at any meeting noticed for that purpose . Section 6 : Vacancies . The Nominating Committee shall present to the Board of Directors candidates for vacancies to fill unexpired terms who shall , upon election by the Board, take office at the next Board meeting , for the duration of the unexpired term. Section 7 : Quorum . A quorum shall consist of a simple majority of the current members of the Board of Directors . Section- 8 : Meetings . Meetings will generally be held monthly except if a meeting is postponed by consent of a majority present at the previous meeting or due to extreme circumstances . Special meetings of the board may be held at the call of the Chairman or by written request of thirty (30) percent of the members of the Board of Directors . Notice of a special meeting need not be given to any Director who signs a waiver of notice either before or after the meeting . To be effective the waiver shall contain recitals sufficient to identify the meeting to which it applies . -%An emergency meeting may be called by the Chairman following board approval by a majority of the elected board . No business shall be transacted except that stated in the call for special and emergency meetings . Section 9 : Ex Officio Directors (a) The Chairman of the Cultural Advisory Committee (see Article VIII , Section 3) shall serve as a voting ex officio member of the Board of Directors . (b) The Board of Directors may appoint additional non-voting ex officio Directors as it shall deem desirable , with the authority and duties prescribed, from time to time , by the Board of Directors ; The number of non-voting ex officio Directors shall not exceed five (5) . Article VI Offieers Section 1 . The officers of the Council shall be Chairman, Vice Chairman, Secretary , Treasurer and other such officers as may be elected as provided in this article . The Board of Directors may elect or appoint additional officers , including one or more vice chairman, assistant secretaries , and assistant treasurers , as it shall deem desirable , with the authority and duties prescribed, from time to time , by the Board of Directors . BYLAws OF CULTURAL COUNCIL OF INDIAN RIVER COUNTY , INC . Page 4 Section 2 . The Chairman , Vice Chairman, Secretary , Treasurer and two additional Directors designated as " at-large " Directors by the Board of Directors shall serve as the Executive Committee of the Board of Directors , and the said Executive Committee shall be empowered to act on behalf of the Board of Directors during periods of adjournment. Section 3 : The officers of this Council shall be elected annually by the Board of Directors at the regular annual meeting of the Board of Directors held following the annual meeting of the membership . Article VII Staff The Board of Directors shall have the power to hire such staff as it deems necessary, or otherwise provide for the - management of the operation of the Council . Article VIII Committees Section 1 : The Board of Directors shall have the power to create any committee deemed necessary , either as a Standing Committee or Special Committee , and shall have the power to appoint a Chairman of any committee or to delegate such appointive powers to any other appropriate members . The Chairman shall be an ex-officio member of all committees except the Nominating Committee . Standing Committees shall include the Executive Committee (See Article VI, Section 1 ) , Nominating Committee and the Cultural Advisory Committee. Section 2 : The Cultural Advisory Committee shall include the head , or a designated representative of any private or public-not-for profit organization paying membership fees to the Council . The Cultural Advisory. Committee shall advise and assist the Board of Directors in the fulfillment of the Council ' s mission . A chairman of the Cultural Advisory Committee shall be appointed by the Council ' s Executive Committee . Unless otherwise specified at the time of appointment, the chairman of the Cultural Advisory Committee. shall be appointed to a one-year term, :provided that the chairman of the Cultural Advisory Committee may be removed by the Council ' s Exxcutive Committee at any time , without cause . The Council ' s Executive Committee may reappoint an incumbent chairman of the Cultural Advisory Committee for additional one-year terms . • BYLAWS OF CULTURAL COUNCIL OF INDIAN RIVER COUNTY , INC . Page 5 L � Article IX Financial Matters Section 1 : No funds of the Council shall be deposited in any name except that of the Council and no funds of the Council shall be invested without authority of the Board of Directors . Section 2: The fiscal year of the Council shall run from July 1 , of each calendar year through June 30 , of the following calendar year. The fiscal year may be altered by resolution of the Board of Directors from time to time as the Board deems advisable . The books of the Council shall be balanced and audited as of the end of each fiscal year by a Certified Public Accountant or reviewed and approved by an independent Finance Committee created for that purpose by the Board of Directors . Section 3 : No part of the income of the Council shall ever be distributable to its directors or officers . Section 4 : All checks , drafts or other orders for the payment of money , notes or other evidences of indebtedness issued in the name of the Council shall be signed by the officer or officers , agent or agents of the Council and in the manner as shall be determined, from time to time by resolution of the Board of Directors . Article X Tax Exempt Status It is anticipated that the Cultural Council of Indian River County will remain a tax exempt organization under Section 501 (c) (3) of the Internal Revenue Code (or the corresponding provision of any future United States Internal Revenue Law) : and that all membership dues , gifts , donations , memorials , and bequests shall qualify as charitable deductions under the proper sections of the Internal Revenue Code . Article XI Amendinents Bylaws , or Amendments to the bylaws , shall be considered adopted if a majority of the Board of Directors present at any meeting which a quorum is present shall vote in favor of the adoption of such an amendment: provided the proposed change of the bylaws be moved, seconded, and discussed at the meeting prior to the meeting at which the amendment shall be voted upon. Any amendment to the bylaws shall be recorded, dated, and attached to the official copy of the bylaws . BYLAWS OF CULTURAL COUNCIL OF INDIAN RIVER COUNTY , INC . Page 6 � v These bylaws were adopted as the Bylaws of the Cultural Council of Indian River County, Inc . at the regularly scheduled meeting of the Board of Directors on the 161 day of February , 1998 , Kathryn Coll ' , Secretary BYLAWS OF CULTURAL COUNCIL OF INDIAN RIVER COUNTY , INC . Page 7 i - - • l �F � ��' ry ��''`la"•'��iY rack t� 1F/—�-1•. . '>Pss a,, '�` C yb 32f � Ea� kn�E h n� r > E,�;`» " 'v M ., >,i x � �\EE X° .�Y >•'F�Y �' i S .,y.. f�( a y� � _: V V £� � _ » >r�� `.Y+sfir �,k s'xk S�'f^i C�•w F/ at> xx39, »" `k^Y 'r e -a� .Rcf '�M �u� �y � � R ;x. sz�W s3Y ,�F�.iF '3s� �`vF/ °`✓S a'"'�'w'�i '.'`K �L�y � �.�E<"SYprx ��x ; r�'>�:4' F�' .. . . .S'. a\ i ,rsiQ oip`3 kY N '3'. Ew"33N S` i -� 3' f.3k F" F aFh E'�» uu '.� Fayf Sr n yhuay''ki rc t ) a+Y sy""i 9 roQ 5 .kvt iL>s�Z i x \ .a n'. vk F k F :.s N k ESA: w y cos tti6Zv 4x >;s . 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Named Insured and Mailing Address : LI1.C 4 u 32ob � P. ,: ;°`q`', e L. _ LIC � 1`-.� 2Jt2 12 -t't Ser cr,:n Bivtl, otim Cultural Council of Indian River Co . , Inc cassel`7 asseiuerry FL 32707 2145 14th Avenue Ste : 11 Vero Beach , Fl 32960 PRODDAmSid Bannack cITY�Oro ° each , FL This insurance Is 7:7ed oursuant to the Florida Surplus Li,iea Lava. er;r;r,s insured j; . . .-r . s ..o ;:•at have Item 2 . Policy Period From : 0 3 / 10 / 2 0 0 3 To: 03 / 10 / 2004 Term • liheyrearWn of to � FIC, ida surance uarality Act to ane e,,. ; ;i of C- :y rght of 12:01 A. M . Standard Time at the address of the Named Insured as stated herein. recovery for the obligation of anv it unlicensed insurer. File # Item 3 . Retroactive Date: Item 4. Business Description : Promotes the arts & cultural activities & programs Item 5. In return for the payment of the premium, and subject to all the terms of this policy, we agree with you to provide the insurance as stated in this policy. This policy consists of the following coverage parts for which a premium is indicated . Where no premium is shown, there is no coverage . This premium may be subject to adjustment. Coverage Part(a) Form No . and Edition Date Premium Commercial General Liability Coverage Part $ 41227 , 00 Professional Liability Coverage Part $ Policy Fee $ 35 . 00 Service Fee $ 12 . 79 Tax $ 213 . 10 $ $ $ Audit Period Annual unless otherwise stated : Total $ 41487 , 89 Item 6. Forms and endorsements applicable to all Coverage Parts : 011 - 1054 ( 04 - 00 ) , 011 - 1061 ( 08 - 02 ) SHOW NUMBERS Agent Name and Address: crap Insurance Services of Florida , Inc . 1211 Semoran Blvd , Ste : 227 Casselberry , FL 32707 Agent Number: 104990 Countersigned 03/25 /2003 kp By DATE p%pp`,� ((EE�t 4 C � THIS COMMERCIAL LIABILITY DECLARATIONS AND THE SUPPLEMENTAL DECLARATION ,T1 FLAT ER�tWIITH LLiE CTIS FJL POLICY C CONDITIONS, COVERAGE FORM (S) AND ENDORSEMENTS COMPLETE THE ABOVE NUMBERED POLICY. 011 -1056 (9-93) INSURED 93 ' ESSEX INSURANCE COMPANY MML COMMERCIAL GENERAL LIABILITY COVERAGE PART SUPPLEMENTAL DECLARATIONS These Supplemental Declarations forma part of policy number 3 CK3 3 0 8 LIMITS OF INSURANCE General Aggregate Limit (other than Products/Completed Operations) $ 2 , 0 0 0 , 0 0 0 Products/Completed Operations Aggregate Limit Personal and Advertising Injury Limit $ 1 , 0 0 0 , 0 0 0 Each Occurrence Limit $ 11 0 0 0 , 0 0 0 Damage to Rented Premises $ 5 0 , 0 0 0 Each Occurrenc e Medical Expense Limit $ 1 , 0 0 0 Any One Person BUSINESS DESCRIPTION AND LOCATION OF PREMISES COVERED BY THIS POLICY Form of business : ❑ Individual ❑ Joint Venture ❑ Partnership ® Organization (other than Partnership or Joint Venture) Location of all premises you own, rent or occupy: 2145 14th Avenue Vero Beach , F1 32960 PREMIUM Description of Hazards/ Rate Advance Premium Insured Classifications Code No. *Premium Basis PR Co All Other Pr Co All Other Camps - - not - for - profit Including Products & 41422 0 ) 200 Campers Incl Flat $ Incl $ 3 , 738 . 00 Completed Operations ( summer ) Camps - - not for profit Including Products & 41422 0 )60 Campers Incl Incl Incl Incl Completed Operations ( after - school program Exhibitions - - in buildings - other than 63217 0 ) 2 events Incl 172 . 5 Incl 345 . 00 not - for - profit including products & completed operations Additional insured per ME009 144 . 00 TOTAL * (a) Area, (c) Total Cost, (m) Admission, (p) Payroll , (s) Gross Sales, (u) Units, (o) Other PREMIUM $ 4 , 227 . 00 FORMS AND ENDORSEMENTS other than a licable forms and endorsements shown elsewhere in thepolicy) Forms and endorsements applying to this Coverage Part and made part of this policy at time of issue: 011 - 1054 ( 04 - 00 ) 1 011 - 1095 ( 07- 01 ) , ME - 001 ( 04 - 00 ) , ME - 001A ( 07- 01 ) , ME - 009 ( 04 - 99 ) , ME - 013 ( 05 - 02 ) , ME - 024 ( 09 - 00 ) , ME - 026 ( 10 - 99 ) 8 ME - 030 ( 04 - 99 ) , ME - 048 ( 04 - 99 ) , ME - 064 ( 04 - 99 ) , ME - 143 ( 04 - 99 ) , ME - 170 ( 08 - 95 ) , ME - 235 ( 08 - 02 ) 0 CG 00 01 ( 07 - 98 ) , CG 21 69 ( 01 - 02 ) THIS SUPPLEMENTAL DECLARATIONS AND THE COMMERCIAL LIABILITY DECLARATIONS, TOGETHER WITH THE COMMON POLICY CONDITIONS , COVERAGE FORM (S) AND ENDORSEMENTS COMPLETE THE ABOVE NUMBERED POLICY. 011 - 1061 (8-02) INSURED Cultural Council of Indian River County Summer Cultural Camp Children's services Advisory Committee — Indian River Proof of Attendance at a Measurable Outcomes and Objectives Workshop I did attend a workshop at the Indian River County Library last Fall . I did sign in and I know that Sean Boyle or Elizabeth Whittles would personally vouch for me . I have also attended their Grant Writing Coalition for many years in Martin & St . Lucie Counties . I have been to a workshop such as this, at the very least, four times . However I am lacking documentation and I cannot prove this . If needed, I will secure documentation in writing from Sean or Elizabeth. �s